A型主动脉夹层、右侧主动脉弓和胸主动脉瘤。
Type A aortic dissection, right-sided aortic arch, and thoracic aortic aneurysm.
作者信息
Hori Daijiro, Tanaka Masashi, Yamaguchi Atsushi, Adachi Hideo
机构信息
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2009 Dec;17(6):640-2. doi: 10.1177/0218492309341620.
A previously healthy 78-year-old woman presented with severe chest pain. Computed tomography revealed a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum, a thoracic aortic aneurysm, and Stanford type A acute aortic dissection. Successful emergency repair of the ascending aorta, total arch, and descending aorta were performed through a median sternotomy only.
一名既往健康的78岁女性出现严重胸痛。计算机断层扫描显示为右侧主动脉弓，左锁骨下动脉异常起源于Kommerell憩室，合并胸主动脉瘤及斯坦福A型急性主动脉夹层。仅通过正中胸骨切开术成功实施了升主动脉、全弓及降主动脉的急诊修复。
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