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成人动脉导管未闭瘤的杂交治疗方法。

Hybrid approach for aneurysm of patent ductus arteriosus in an adult.

机构信息

Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

出版信息

Ann Thorac Surg. 2013 Jan;95(1):e15-7. doi: 10.1016/j.athoracsur.2012.07.062. Epub 2012 Dec 25.

Abstract

A 55-year-old male was admitted to our hospital with severe heart failure. He was diagnosed with triple valve regurgitation and an aneurysm of patent ductus arteriosus (PDA). Infectious etiology was suspected because of the valve morphology, but the patient had no sign of infection. After confirming the complete control of infection, a hybrid operation was planned. The opening of PDA at the pulmonary artery side was closed with a patch, accompanied by a multiple valve surgery, after which the aorta side entry of the aneurism was covered with a stent graft. The patient was treated successfully without complications.

摘要

一位 55 岁男性因严重心力衰竭入院。他被诊断为三尖瓣反流和动脉导管未闭(PDA)瘤。由于瓣膜形态学改变,怀疑感染性病因,但患者无感染迹象。在确认感染完全得到控制后,计划进行杂交手术。用补片封闭肺动脉侧的 PDA 开口,同时进行多瓣膜手术,然后用支架移植物覆盖瘤体的主动脉侧入口。患者成功接受治疗,无并发症发生。

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