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经胸骨突出的搏动性肿块的处理。法洛四联症修复术后35年升主动脉假性动脉瘤。

Management of a pulsatile mass coming through the sternum. Pseudoaneurysm of ascending aorta 35 years after repair of tetralogy of Fallot.

作者信息

Attia Rizwan, Venugopal Prem, Whitaker Donald, Young Christopher

机构信息

Guy's and St Thomas' NHS Trust, London, SE1 7EH, UK.

出版信息

Interact Cardiovasc Thorac Surg. 2010 May;10(5):820-2. doi: 10.1510/icvts.2009.227900. Epub 2010 Jan 5.

DOI:10.1510/icvts.2009.227900
PMID:20051449
Abstract

We describe a case of an ascending aortic pseudoaneurysm during long-term follow-up after repair of tetralogy of Fallot (TOF). The patient had a complex cardiac surgical history with multiple operations for the correction of TOF. The aneurysm was located at the presumed site of previous aortic cannulation. It was initially treated percutaneously with an Amplatzer septal occluder device, with limited early success. After 12 months it was found to have migrated into the sac and open surgical repair was undertaken successfully.

摘要

我们描述了1例法洛四联症(TOF)修复术后长期随访期间发生升主动脉假性动脉瘤的病例。该患者有复杂的心脏手术史,曾多次接受TOF矫正手术。动脉瘤位于先前主动脉插管的推测部位。最初采用Amplatzer房间隔封堵器进行经皮治疗,早期效果有限。12个月后发现封堵器移入瘤腔内,遂成功进行了开放手术修复。

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