Department of Thoracic and Cardiovascular Surgery, Spectrum Health, Fred and Lena Meijer Heart & Vascular Institute, Grand Rapids, Michigan 49503, USA.
Ann Thorac Surg. 2012 Sep;94(3):988-9. doi: 10.1016/j.athoracsur.2012.01.077.
Penetrating ascending aortic ulcers are rarely encountered, yet they present significant risk of hemorrhage and aortic dissection. Expedient recognition and repair is of vital importance. The current management of penetrating ulcer of the ascending aorta includes replacement of the ascending aorta with a prosthetic graft. We describe our technique of repairing a penetrating ulcer of the ascending aorta with localized ulcer resection and extracellular matrix patch aortoplasty.
穿透性升主动脉溃疡很少见，但它们有很大的出血和主动脉夹层的风险。及时识别和修复至关重要。目前穿透性升主动脉溃疡的治疗方法包括用人工移植物置换升主动脉。我们描述了用局部溃疡切除和细胞外基质补片主动脉成形术修复升主动脉穿透性溃疡的技术。
