胸骨切开术后因左胸廓内动脉假性动脉瘤导致的出血。
Post-sternotomy hemorrhage due to left internal thoracic artery pseudoaneurysm.
作者信息
Yamashiro Satoshi, Kuniyoshi Yukio, Arakaki Katsuya, Inafuku Hitoshi, Morishima Yuji, Kise Yuya
机构信息
Thoracic and Cardiovascular Surgery Division, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2009 Oct;17(5):519-21. doi: 10.1177/0218492309348633.
We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from a left parasternal swelling. Selective arteriography revealed a pseudoaneurysm of the left internal thoracic artery. It was surgically excised, and the patient recovered uneventfully.
我们描述了一例可能由感染引起的胸廓内动脉假性动脉瘤病例。在主动脉瓣置换和冠状动脉搭桥手术后四周，一名84岁女性突然出现胸骨疼痛性不稳定和低血压，左胸骨旁肿胀处有活动性出血。选择性动脉造影显示左胸廓内动脉假性动脉瘤。通过手术将其切除，患者顺利康复。
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