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多发性大动脉炎伴右冠状动脉、头臂干和左锁骨下动脉闭塞及主动脉瓣反流。心血管入路带来成功转归——病例报告。

Takayasu's arteriopathy with associated occlusion of right coronary artery, brachiocephalic trunk and left subclavian artery and aortic regurgitation. Cardiovascular approach leading to a successful outcome - a case presentation.

机构信息

Department of Cardiac Surgery, J. Struś Hospital, Poznań, Poland.

出版信息

Kardiol Pol. 2010 Oct;68(10):1189-91.

PMID:20967728
Abstract

In a 37 year-old woman with Takayasu's arteriopathy angiography revealed occlusion of right coronary artery (RCA), brachiocephalic trunk and left carotid artery (LCA), as well as aortic regurgitation. She underwent a complex cardiovascular surgery consisting of aortic valve implantation, RCA grafting and implantation of vascular bifurcated graft anastomosed between ascending aorta and brachiocephalic trunk and LCA. The multi-slice computed tomography performed two weeks after the operation revealed preserved grafts patency.

摘要

一位 37 岁女性患有 Takayasu 动脉炎，血管造影显示右冠状动脉 (RCA)、头臂干和左颈总动脉 (LCA) 闭塞，以及主动脉瓣反流。她接受了一项复杂的心血管手术，包括主动脉瓣植入、RCA 搭桥和在升主动脉和头臂干以及 LCA 之间吻合的分叉血管移植。术后两周进行的多层螺旋 CT 显示移植血管通畅。

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