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并非一概而论:两例经皮封堵主动脉假性动脉瘤的病例报告及文献综述

One size does not fit all: case report of two percutaneous closures of aortic pseudoaneurysm and review of the literature.

作者信息

Patel Amit Vipin, Gupta Sameer, Laffin Luke Joseph, Retzer Elizabeth Marie, Dill Karin Evelyn, Shah Atman Prabodh

机构信息

Section of Cardiology, Department of Medicine, University of Chicago Medical Center.

Section of Cardiology, Department of Medicine, University of Chicago Medical Center.

出版信息

Cardiovasc Revasc Med. 2014 Apr;15(3):160-4. doi: 10.1016/j.carrev.2014.02.007. Epub 2014 Mar 2.

Abstract

Aortic pseudoaneurysms (PSAs) are common complications following cardiac surgery, and carry significant morbidity and mortality. Surgical management of aortic PSAs is associated with high mortality, however there are emerging reports of transcatheter techniques for closure of aortic PSAs. We present two cases of ascending aorta PSA which developed following cardiac surgery and were treated percutaneously with novel closure devices. We also describe a comprehensive review of the literature of all published cases of ascending aorta PSA which have been closed percutaneously, and report on the success rate and available devices for percutaneous closure.

摘要

主动脉假性动脉瘤(PSA)是心脏手术后常见的并发症,具有较高的发病率和死亡率。主动脉PSA的手术治疗死亡率较高,然而,有越来越多关于经导管技术闭合主动脉PSA的报道。我们报告两例心脏手术后发生的升主动脉PSA病例,采用新型闭合装置进行了经皮治疗。我们还对所有已发表的经皮闭合升主动脉PSA病例的文献进行了全面综述,并报告了经皮闭合的成功率和可用装置。

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