新生儿巨大先天性主动脉瘤伴胸骨裂：优化管理的病理和手术考虑因素。
Giant congenital aortic aneurysm with cleft sternum in a neonate: pathological and surgical considerations for optimal management.
机构信息
Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy.
出版信息
Cardiovasc Pathol. 2010 May-Jun;19(3):183-6. doi: 10.1016/j.carpath.2008.12.003. Epub 2009 Feb 12.
Abstract
We report a rare case of a neonate with congenital giant aortic aneurysm associated to cleft sternum, who underwent surgical repair. The patient died on postoperative Day 5 from cardiac arrest. Autopsy revealed a circumferential subendocardial myocardial infarction and misdiagnosed coronary ostial anomalies. A critical analysis of this unfortunate case may help optimal surgical planning in similar patients in the future.
摘要
我们报告了一例罕见的新生儿先天性巨大主动脉瘤合并胸骨裂的病例，该患儿接受了手术修复。术后第 5 天，患儿因心脏骤停死亡。尸检显示环状心内膜下心肌梗死和误诊的冠状动脉口异常。对这个不幸病例的批判性分析可能有助于未来对类似患者进行最佳手术规划。
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