Department of Anesthesiology and Pain Medicine, Harbor-UCLA Medical Center, Los Angeles, 1000 West Carson St., Box # 10, Torrance, CA 90502, USA.
J Anesth. 2012 Aug;26(4):589-91. doi: 10.1007/s00540-012-1350-5. Epub 2012 Feb 22.
Endovascular aortic graft repair (EVAR) for patients with Type B aortic dissection is a less invasive surgical procedure (compared to traditional open surgical repair) that is associated with less morbidity and shortened recovery times. However, there are notable complications for the patients undergoing EVAR. We report a patient who was brought to our hospital with a Type B dissection and underwent a thoracic EVAR but suffered iatrogenic aortic injury resulting in cardiac tamponade. This case study highlights the importance of intraoperative transesophageal echocardiography to facilitate early detection of possible EVAR complications.
腔内修复术（EVAR）治疗 B 型主动脉夹层患者是一种创伤较小的手术方法（与传统的开放性手术修复相比），其发病率和恢复时间都较短。然而，EVAR 患者也会出现显著的并发症。我们报告了一位因 B 型夹层被送到我院的患者，他接受了胸主动脉 EVAR 治疗，但发生了医源性主动脉损伤导致心脏压塞。本病例研究强调了术中经食管超声心动图的重要性，以便早期发现可能的 EVAR 并发症。
