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本文引用的文献

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Diseases of the aorta: aneurysm of the ascending aorta.主动脉疾病:升主动脉瘤
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2
Superior vena cava syndrome secondary to chronic dissecting aortic aneurysm after aortic valve replacement.主动脉瓣置换术后慢性主动脉夹层动脉瘤继发上腔静脉综合征
Interact Cardiovasc Thorac Surg. 2010 Aug;11(2):192-3. doi: 10.1510/icvts.2010.238022. Epub 2010 May 26.
3
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology,American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons,and Society for Vascular Medicine.2010年美国心脏病学会基金会/美国心脏协会/美国胸外科医师协会/美国放射学会/美国卒中协会/心血管麻醉医师协会/心血管造影和介入学会/介入放射学会/胸外科医师学会/血管医学学会胸主动脉疾病患者诊断和管理指南。美国心脏病学会基金会/美国心脏协会实践指南工作组、美国胸外科协会、美国放射学会、美国卒中协会、心血管麻醉医师协会、心血管造影和介入学会、介入放射学会、胸外科医师学会及血管医学学会报告。
J Am Coll Cardiol. 2010 Apr 6;55(14):e27-e129. doi: 10.1016/j.jacc.2010.02.015.
4
Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002.胸主动脉瘤和夹层:在一项基于全国人口的研究中报告显示,1987年至2002年期间超过14000例病例的患病率增加且预后改善。
Circulation. 2006 Dec 12;114(24):2611-8. doi: 10.1161/CIRCULATIONAHA.106.630400. Epub 2006 Dec 4.
5
Thoracic and abdominal aortic aneurysms.胸主动脉瘤和腹主动脉瘤。
Circulation. 2005 Feb 15;111(6):816-28. doi: 10.1161/01.CIR.0000154569.08857.7A.
6
Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks.胸主动脉瘤的自然病史:手术指征以及手术与非手术风险
Ann Thorac Surg. 2002 Nov;74(5):S1877-80; discussion S1892-8. doi: 10.1016/s0003-4975(02)04147-4.

升主动脉巨大动脉瘤。

Giant aneurysm of the ascending aorta.

作者信息

Srivastava Vivek, AlHadid Kenda, Saravanan P, Zacharias J, Bittar M N

机构信息

Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK.

出版信息

BMJ Case Rep. 2011 Jul 28;2011:bcr1120103504. doi: 10.1136/bcr.11.2010.3504.

DOI:10.1136/bcr.11.2010.3504
PMID:22689856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3149418/
Abstract

An ascending aortic aneurysm is a rare entity. The authors encountered an 85-year-old female patient with an uncomplicated ascending aortic aneurysm measuring 9 cm in diameter. She underwent an urgent operation involving replacement of the ascending aorta. Postoperatively, she developed mild renal failure and atrial flutter requiring direct current cardioversion. However, further recovery was good. The authors present this case including the operative management and a brief overview of this rare condition to reiterate that with an ageing population, this procedure can be done with an acceptable morbidity.

摘要

升主动脉瘤是一种罕见的病症。作者遇到一位85岁的女性患者,患有直径9厘米的无并发症升主动脉瘤。她接受了升主动脉置换的紧急手术。术后,她出现轻度肾衰竭和心房扑动,需要直流电复律。然而,进一步的恢复情况良好。作者展示该病例,包括手术管理以及对这种罕见病症的简要概述,以重申随着人口老龄化,该手术可以在可接受的发病率情况下进行。