钙化性狭窄跳跃移植物
Calcific stenotic jump graft.
作者信息
Padmakumar R, Krishnamoorthy K M, Tharakan J A
机构信息
Sree Chitra Thirunal Institute for Medical Sciences and Technology, Trivandrum, India.
出版信息
Ann R Coll Surg Engl. 2004 Nov;86(6):W36-7. doi: 10.1308/14787080492.
A young lady with post-subclavian coarctation and cranial hypertension is discussed. She had a jump graft from left subclavian artery to descending aorta, and presented 18 years later with hypertension, calcification of the graft with a gradient of 40 mmHg across it. In the meantime, she also developed moderate aortic regurgitation on a bicuspid aortic valve. Management strategies including trans-catheter options are discussed. We present our reservations on trans-catheter options in an occluded dacron graft.
讨论了一位患有锁骨下动脉缩窄和颅内高压的年轻女性。她接受了从左锁骨下动脉到降主动脉的跳跃移植，18年后出现高血压，移植血管钙化，跨血管压差为40 mmHg。同时，她还在二叶式主动脉瓣上出现了中度主动脉瓣反流。讨论了包括经导管治疗方案在内的管理策略。我们对在闭塞的涤纶移植血管中采用经导管治疗方案持保留意见。
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