Kaminishi Y, Kono Y, Kato M, Kawada M, Misawa Y
Division of Cardiovascular Surgery, Jichi Medical School, Shimotsuke, Japan.
Kyobu Geka. 2006 May;59(5):407-9.
We report a case of a 13-year-old boy presenting with pseudoaneurysm associated with a knitted Dacron patch used to repair a coarctation of the aorta. At the age of 3 months, he had undergone patch angioplasty for a coarctation of the aorta, which develops following patent ductus arteriosus division at 2 months of age. He was treated by distal aortic arch replacement using 16 mm woven Dacron tube graft in an end-to-end fashion with open proximal anastomosis under deep hypothermic circulatory arrest. The aneurysm was in the aortic wall opposite the patch graft. There was no evidence of infection or dilatation of the patch graft. This case illustrates that repair of aortic coarctations with Dacron patches cannot be recommended.
我们报告一例13岁男孩，其患有与用于修复主动脉缩窄的针织涤纶补片相关的假性动脉瘤。3个月大时，他因主动脉缩窄接受了补片血管成形术，该缩窄是在2个月大时动脉导管未闭分离后出现的。他接受了远端主动脉弓置换术，使用16毫米编织涤纶人工血管以端对端方式进行，在深低温循环停搏下进行开放近端吻合。动脉瘤位于补片移植相对的主动脉壁处。没有补片移植感染或扩张的证据。该病例表明，不推荐使用涤纶补片修复主动脉缩窄。
