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杂交手术治疗慢性阻塞性肺疾病合并胸骨后粘连患者的胸主动脉弓部动脉瘤

Hybrid approach for the treatment of thoracic aortic arch aneurysm in a patient with chronic obstructive lung disease and retrosternal adhesion.

机构信息

Division of Cardiology, Eulji University Hospital, Daejeon, Korea.

出版信息

Korean Circ J. 2011 Jul;41(7):413-6. doi: 10.4070/kcj.2011.41.7.413. Epub 2011 Jul 30.

DOI:10.4070/kcj.2011.41.7.413
PMID:21860646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3152739/
Abstract

A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.

摘要

一位 73 岁的女性，患有慢性高血压和严重的慢性阻塞性肺疾病，因深度休克胸痛到地区综合医院就诊。她被诊断为心脏压塞、严重二尖瓣反流和 Stanford 型 A（DeBakey 型 I）壁内血肿。她的升主动脉很大，因此紧急进行修复以更换升主动脉和二尖瓣。6 个月后，在后续的增强 CT 血管造影中观察到动脉瘤大小增加到 6.0cm。该患者通过分期杂交手术成功治疗，该手术包括最初的主动脉上部重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/9678bb55bdbe/kcj-41-413-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/da6d14b2d176/kcj-41-413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/81dddfb1ddde/kcj-41-413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/df86b3f12f75/kcj-41-413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/d43fbb19f9aa/kcj-41-413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/9678bb55bdbe/kcj-41-413-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/da6d14b2d176/kcj-41-413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/81dddfb1ddde/kcj-41-413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/df86b3f12f75/kcj-41-413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/d43fbb19f9aa/kcj-41-413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9397/3152739/9678bb55bdbe/kcj-41-413-g005.jpg

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