Hachida M, Ihashi K, Hirai M, Tei E
Department of Cardiovascular Surgery, Ayase Heart Hospital.
Kyobu Geka. 1991 Jul;44(7):583-6.
A fifty-nine year-old woman was emergently admitted to our hospital for the aneurysm in descending aorta. She complained of severe back pain and dysphagia, and showed extreme hypotension. Aortic angiography was performed immediately. It revealed the aneurysm of descending aorta (phi 7.2 cm) and abdominal aorta (phi 3.5 cm), and also showed obstruction of bilateral common iliac arteries. On chest X-ray, a diffuse shadow of the right-sided chest was found. Through chest drainage, fresh blood was let out from extrapleural space. On the next day, the drainage blood markedly increased. Subsequently, emergent operation was performed. The operation consists of resection of aortic aneurysm with grafting and aortofemoral bypass with a Y shaped graft. The patient survived the operation and was discharged without any disability.
一名59岁女性因降主动脉瘤紧急入院。她主诉严重背痛和吞咽困难，并出现极度低血压。立即进行了主动脉血管造影。结果显示降主动脉（直径7.2厘米）和腹主动脉（直径3.5厘米）有动脉瘤，同时还显示双侧髂总动脉阻塞。胸部X光检查发现右侧胸部有弥漫性阴影。通过胸腔引流，从胸膜外间隙引出了新鲜血液。第二天，引流血量明显增加。随后进行了紧急手术。手术包括切除主动脉瘤并进行移植，以及用Y形移植物进行主动脉股动脉旁路移植术。患者手术后存活，出院时无任何残疾。
