Scholtz Werner, Jategaonkar Smita, Haas Nikolaus A
Heart and Diabetes Center North Rhine-Westphalia, Department of Cardiology, Georgstrasse 11, Bad Oeynhausen, Germany.
J Invasive Cardiol. 2010 Mar;22(3):E44-6.
Pseudoaneurysm of the aorta is a rare, but potentially dangerous complication after cardiac surgery, trauma or infective aortitis. Potential fatal risk of rupture with severe hemorrhage exists, so that treatment is necessary. Surgical management carries a high morbidity and mortality rate. Using an endovascular transcatheter method seems to be a promising option for treatment of aortic pseudoaneurysms. We report a case of ascending aortic pseudoaneurysm, which was diagnosed 11 years after cardiac surgery and treated successfully by implantation of an Amplatzer Vascular Plug II.
主动脉假性动脉瘤是心脏手术、创伤或感染性主动脉炎后一种罕见但潜在危险的并发症。存在破裂伴严重出血的潜在致命风险,因此需要进行治疗。外科治疗的发病率和死亡率很高。采用血管内导管方法似乎是治疗主动脉假性动脉瘤的一种有前景的选择。我们报告一例升主动脉假性动脉瘤病例,该病例在心脏手术后11年被诊断出来,并通过植入Amplatzer血管封堵器II成功治疗。