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慢性局限性主动脉瘤破裂伴胸椎侵蚀。

Chronic contained rupture of aortic aneurysm with thoracic vertebral erosion.

作者信息

Matsunaga Iwao, Nogami Eijiro, Higuchi Shinya, Okazaki Yukio, Itou Tsuyoshi

机构信息

Department of Cardiovascular Surgery, Fukuoka Wajiro Hospital, Fukuoka, Japan

Department of Cardiovascular Surgery, Fukuoka Wajiro Hospital, Fukuoka, Japan.

出版信息

Asian Cardiovasc Thorac Ann. 2015 Jun;23(5):564-6. doi: 10.1177/0218492314522046. Epub 2014 Jan 31.

Abstract

A 66-year-old man was transferred to our hospital with the diagnosis of a large thoracoabdominal aneurysm. Computed tomography showed thoracic vertebral erosion, suggesting a chronic contained rupture. He was hemodynamically stable with no neurological complication preoperatively. He underwent successful surgical replacement of the descending aorta. During surgery, the 6th and 7th thoracic vertebral bones adjacent to the thoracic aneurysm were found to be eroded. The postoperative course was uneventful.

摘要

一名66岁男性因诊断为巨大胸腹主动脉瘤被转至我院。计算机断层扫描显示胸椎侵蚀,提示慢性局限性破裂。术前他血流动力学稳定,无神经系统并发症。他成功接受了降主动脉置换手术。手术过程中,发现与胸主动脉瘤相邻的第6和第7胸椎骨被侵蚀。术后病程顺利。

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