Irisawa T, Souma T, Yokosawa T, Iwamatsu T
Division of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Sep;38(9):1517-20.
The patient was a 72-year-old man, who had an aneurysm of the descending thoracic aorta with left recurrent laryngeal nerve palsy identified by preoperative examination. Thoracotomy revealed an aneurysm of a diverticulum of the ductus arteriosus measuring 2.7 X 3.4 cm. The aneurysm was excised under partial cardiopulmonary bypass and the defect of the aortic wall was repaired with a Dacron patch. Two days after surgery, he developed mild deterioration of consciousness and right hemiparesis. An acute subdural hematoma which covered the left frontal, parietal, and temporal lobes was found by CT examination. Craniotomy was performed 16 days after the previous surgery, and 100 g of hematoma was removed. Following craniotomy, complete recovery of cerebral function was observed. This appears to be a valuable report of a patient who developed acute subdural hematoma following surgery of aneurysms of the descending thoracic aorta with partial cardiopulmonary bypass.
该患者为一名72岁男性，术前检查发现其降主动脉瘤合并左喉返神经麻痹。开胸手术显示动脉导管憩室动脉瘤，大小为2.7×3.4厘米。在部分体外循环下切除动脉瘤，并用涤纶补片修复主动脉壁缺损。术后两天，患者出现意识轻度恶化和右侧偏瘫。CT检查发现左侧额、顶、颞叶急性硬膜下血肿。在前次手术后16天进行开颅手术，清除了100克血肿。开颅术后，观察到脑功能完全恢复。这似乎是一份关于一名在降主动脉瘤部分体外循环手术后发生急性硬膜下血肿患者的有价值报告。
