动脉调转手术后大血管假性动脉瘤的形成

False aneurysm formation of the great arteries after arterial switch operation.

作者信息

Kato H, Nakada T, Ikawa S, Miura T, Koh T, Tsuchitani Y

机构信息

Division of Cardiac Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, Japan.

出版信息

Ann Thorac Surg. 1991 Mar;51(3):495-6. doi: 10.1016/0003-4975(91)90880-y.

DOI:10.1016/0003-4975(91)90880-y

PMID:1998437

Abstract

An infant with simple transposition of the great arteries underwent a two-staged arterial switch operation, after which mediastinal infection occurred. Continuous irrigation with povidone-iodine solution was performed for 10 days. After that, the patient experienced life-threatening hemorrhage three times. At the time of the second hemorrhage, greater omental transfer was performed. On postoperative day 109, false aneurysm was recognized, having developed from both great arteries. Successful repair was performed on postoperative day 110.

摘要

一名患有单纯性大动脉转位的婴儿接受了两阶段动脉调转手术，术后发生了纵隔感染。用聚维酮碘溶液持续冲洗10天。此后，患者三次出现危及生命的出血。在第二次出血时，进行了大网膜转移术。术后第109天，发现两大动脉均形成了假性动脉瘤。术后第110天成功进行了修复。