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一名右侧主动脉弓患者慢性B型主动脉夹层的管理

Management of a chronic Stanford type B dissection in a patient with a right-sided aortic arch.

作者信息

Smith Rachel, Attaran Saina, Field Mark, Oo Aung

机构信息

Thoracic Aortic Aneurysm Service, Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Liverpool, UK.

出版信息

Interact Cardiovasc Thorac Surg. 2011 Nov;13(5):523-5. doi: 10.1510/icvts.2011.275974. Epub 2011 Aug 10.

DOI:10.1510/icvts.2011.275974
PMID:21831876
Abstract

We report the case of a 44-year-old male with a right-sided aortic arch who presented with dissection extending from his distal arch to his left common iliac artery. He was initially managed conservatively, but later became symptomatic with back pain; enlargement of the descending thoracic aorta was demonstrated on computed tomography scanning. He underwent staged repair of the aortic arch and descending thoracic aorta with the elephant trunk procedure - two operations one year apart, each time making a good postoperative recovery.

摘要

我们报告了一例44岁男性患者，其为右侧主动脉弓，出现了从远端主动脉弓延伸至左髂总动脉的夹层。他最初接受保守治疗，但后来出现背痛症状；计算机断层扫描显示降主动脉增粗。他接受了分期的主动脉弓和降主动脉修复术，采用象鼻手术——两次手术间隔一年，每次术后恢复良好。

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引用本文的文献

1
A review of the surgical management of right-sided aortic arch aneurysms.右侧主动脉弓动脉瘤手术治疗综述
Interact Cardiovasc Thorac Surg. 2016 Jul;23(1):156-62. doi: 10.1093/icvts/ivw058. Epub 2016 Mar 21.