一名患有骨髓增生异常综合征的原子弹幸存者升主动脉复发性假性动脉瘤的修复术。
Repair of a recurrent pseudoaneurysm of the ascending aorta in an atomic bomb survivor with myelodysplastic syndrome.
作者信息
Hattori Reiji, Nakao Yoshihisa, Okada Takayuki, Johno Hiroyuki, Enoki Chiharu, Sumida Tomohiko, Imamura Hiroji
机构信息
Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 2-3-1 Shinmachi, Hirakata, Osaka, Japan.
出版信息
J Card Surg. 2009 Jul-Aug;24(4):433-4. doi: 10.1111/j.1540-8191.2009.00841.x.
The occurrence of infective aortic pseudoaneurysms tends to be intractable and difficult to treat. We experienced a very rare case of a recurrent infective pseudoaneurysm in the ascending aorta that occurred after cardiac surgery in an atomic bomb survivor with myelodysplastic syndrome. The pseudoaneurysm was successfully repaired using a femoral artery autograft with an omentopexy and the patient recovered well without any recurrence.
感染性主动脉假性动脉瘤的发生往往难以处理且治疗困难。我们遇到了一例非常罕见的升主动脉复发性感染性假性动脉瘤病例，该病例发生在一名患有骨髓增生异常综合征的原子弹幸存者心脏手术后。使用带大网膜固定术的股动脉自体移植成功修复了假性动脉瘤，患者恢复良好，未出现任何复发情况。
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