Jeganathan Reubendra, Badmanaban Balaji, Gladstone Dennis
Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, Northern Ireland, UK.
J Card Surg. 2005 Sep-Oct;20(5):490-3. doi: 10.1111/j.1540-8191.2005.00099.x.
We describe a case of a 14-year-old boy with a spontaneous aortic dissection. The diagnosis was suspected and confirmed with an urgent transthoracic echocardiogram and computer tomography (CT). He underwent an immediate surgery with tube graft replacement of the ascending aorta using a biological glue to reinforce the distal false lumen. Although the immediate postoperative course was uneventful, he continued to have a persistent distal false lumen, which was observed to be enlarging in size on close follow-up. Potential causes of this complication are discussed along with the various different etiologies for aortic dissection in this rare age group.
我们描述了一例14岁男性自发性主动脉夹层病例。通过紧急经胸超声心动图和计算机断层扫描（CT）怀疑并确诊了该病例。他立即接受了手术，使用生物胶加固远端假腔，用人工血管置换升主动脉。尽管术后初期过程平稳，但他仍存在持续的远端假腔，在密切随访中发现其大小不断增大。本文讨论了这一并发症的潜在原因以及该罕见年龄组主动脉夹层的各种不同病因。
