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[升主动脉夹层动脉瘤作为主动脉和二尖瓣后天性缺损治疗的晚期并发症]

[Dissecting aneurysm of the ascending aorta as a late complication of the treatment of acquired defects of the aortic and mitral valves].

作者信息

Petelenz T, Flak Z, Janas Z, Korzeniowska B

机构信息

III Kliniki Kardiologii Sl. AM w Katowicach.

出版信息

Pol Tyg Lek. 1990;45(45-46):928-30.

PMID:2104433
Abstract

A diffuse aneurysm of the ascending aorta was observed five months after prosthetic valve implantation in to mitral and aortic orifices because of the acquired valvular heart disease. The main factor predisposing to the formation of a false aneurysm was an infection of the endocardium and ascending aortal wall which were observed previously during cardiac surgery. The diagnosis, based on the clinical symptoms and non-invasive investigations, was later confirmed with aortography and intra-operatively.

摘要

在因获得性心脏瓣膜病行二尖瓣和主动脉瓣人工瓣膜置换术后五个月,发现升主动脉弥漫性动脉瘤。形成假性动脉瘤的主要因素是先前心脏手术期间观察到的心内膜和升主动脉壁感染。基于临床症状和非侵入性检查的诊断,后来经主动脉造影和术中检查得以证实。

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