Navaravong Leenhapong, Saab Fadi, Cook James R, Peterman Mark, Flack Joseph
Cardiovascular Division, Department of Medicine, Baystate Medical Center-Tufts University School of Medicine, Springfield, MA 01199, USA.
Cardiovascular Division, Department of Medicine, Baystate Medical Center-Tufts University School of Medicine, Springfield, MA 01199, USA.
Cardiovasc Revasc Med. 2011 May-Jun;12(3):177-180. doi: 10.1016/j.carrev.2010.02.001. Epub 2010 Oct 20.
Ascending aortic pseudoaneurysm (AAP) is a rare but serious complication after cardiothoracic surgery. Patients typically present with chest pain, fever, or mass effects, but asymptomatic individuals with abnormal imaging results have been reported. Currently, there are no established guidelines regarding the management of AAP, but most authors recommend surgical treatment even in asymptomatic patients. Here, we describe a 39-year-old woman with Marfan syndrome who developed an AAP approximately 7 years after cardiac surgery. She was treated conservatively and remained asymptomatic until the past 2 years when she developed progressive chest pain and dyspnea upon exertion. Computed tomography angiography, coronary angiography, and ascending aortography were performed and revealed the presence of a pseudoaneurysm of the ascending aorta. Surgical intervention was successful and she was discharged home without significant issues.
升主动脉假性动脉瘤（AAP）是心胸外科手术后一种罕见但严重的并发症。患者通常表现为胸痛、发热或肿块效应，但也有影像学结果异常的无症状个体的报道。目前，关于AAP的管理尚无既定指南，但大多数作者建议即使是无症状患者也应进行手术治疗。在此，我们描述一名39岁患有马凡综合征的女性，她在心脏手术后约7年出现了AAP。她接受了保守治疗，一直无症状，直到过去2年出现进行性胸痛和运动时呼吸困难。进行了计算机断层扫描血管造影、冠状动脉造影和升主动脉造影，结果显示升主动脉存在假性动脉瘤。手术干预成功，她出院回家，没有重大问题。
