Yamamoto S, Fuse K, Naruse Y, Watanabe Y, Kobayashi T, Konishi H, Horii Y
Department of Cardiology, Toranomon Hospital.
Kyobu Geka. 1992 May;45(5):453-5.
We experienced a patient in whom acute ascending aortic dissection appeared to develop at the site of injection of the cardioplegic solution during coronary artery bypass surgery. The patient was a woman aged 70, who was demonstrated to have calcification of the posterior wall of the ascending aorta by preoperative CT scanning. When dissection developed at the cardioplegia injection site after removal of the aortic cross clamp, the aorta was transected and teflon felt was applied to the aorta internally and externally before end-to-end anastomosis was performed. Postoperative CT scanning revealed closure of the dissecting lumen, and the patient was discharged from hospital on the 33rd postoperative day.
我们遇到一位患者，在冠状动脉搭桥手术期间，急性升主动脉夹层似乎在心脏停搏液注射部位发生。该患者为70岁女性，术前CT扫描显示升主动脉后壁钙化。在松开主动脉阻断钳后，心脏停搏液注射部位发生夹层时，将主动脉横断，在进行端端吻合之前，在主动脉内外应用特氟龙毡。术后CT扫描显示夹层腔闭合，患者术后第33天出院。
