患者既往行冠状动脉旁路移植术后发生钝性主动脉损伤。
Blunt aortic injury in a patient with prior coronary artery bypass surgery.
机构信息
R. Adams Cowley Shock Trauma Center and the Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
出版信息
Ann Thorac Surg. 2012 Jan;93(1):294-6. doi: 10.1016/j.athoracsur.2011.05.095.
Traumatic aortic rupture is a significant challenge, further complicated by prior coronary artery bypass graft surgery with a left internal mammary artery anastomosis. We present a patient with prior coronary artery bypass graft and valve replacement who sustained multiple injuries, including an aortic rupture, after a motor vehicle crash. This report describes successful treatment of a patient with a thoracic endograft and carotid subclavian bypass to preserve the left internal mammary artery inflow.
创伤性主动脉破裂是一个重大挑战，而此前的冠状动脉旁路移植术（左内乳动脉吻合术）使其更为复杂。我们报告了一例患者，此前曾接受冠状动脉旁路移植术和瓣膜置换术，在机动车事故后发生了多处损伤，包括主动脉破裂。本报告描述了使用胸主动脉内支架和颈动脉锁骨下旁路来保留左内乳动脉流入以成功治疗该患者的情况。
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