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冠状动脉搭桥术后16年升主动脉假性动脉瘤

Pseudoaneurysm of ascending aorta 16 years after coronary artery bypass grafting.

作者信息

Tochii Masato, Takagi Yasushi, Hoshino Ryo, Kaneko Kan, Ishida Michiko, Higuchi Yoshiro, Ando Motomi

机构信息

Department of Cardiovascular Surgery, Fujita Health University, Toyoake, Aichi, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2011;17(3):323-5. doi: 10.5761/atcs.cr.10.01543.

DOI:10.5761/atcs.cr.10.01543
PMID:21697803
Abstract

Pseudoaneurysm of the ascending aorta after cardiac surgery is a rare but life threatening complication, which can result in rupture. Pseudoaneurysms are usually related to the aortic cannulation, the proximal site of graft anastomosis, or the suture line of aortotomy, and often occur after mediastinal infection. We report a case of pseudoaneurysm of the ascending aorta associated with aortic cannulation and the proximal anastomosis of a saphenous vein graft without an obvious history of mediastinal infection.

摘要

心脏手术后升主动脉假性动脉瘤是一种罕见但危及生命的并发症,可导致破裂。假性动脉瘤通常与主动脉插管、移植物吻合近端部位或主动脉切开缝合线有关,且常发生于纵隔感染后。我们报告一例升主动脉假性动脉瘤病例,其与主动脉插管及大隐静脉移植物近端吻合有关,且无明显纵隔感染病史。

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