青少年主动脉缩窄的全弓置换术。
Total arch replacement for coarctation of the aorta in an adolescent.
作者信息
Kasama Keiichiro, Suzuki Shinichi, Isomatsu Yukihisa, Yamazaki Kazuya, Yanagi Hiromasa, Masuda Munetaka
机构信息
Department of Surgery, Yokohama City University, Yokohama, Kanagawa, Japan
Department of Surgery, Yokohama City University, Yokohama, Kanagawa, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2015 Jun;23(5):576-8. doi: 10.1177/0218492314523626. Epub 2014 Jun 12.
A 16-year-old boy suffered a subarachnoid hemorrhage and underwent open head surgery. He was subsequently diagnosed with coarctation of the aorta and referred to our hospital. The coarctation was at the distal transverse arch, just at the site of branching of the subclavian artery. Total arch replacement with selective cerebral perfusion was selected because of the short hypoplastic arch. The patient had an uneventful postoperative course, and was doing well 3 years after the surgery.
一名16岁男孩发生蛛网膜下腔出血并接受了开颅手术。随后他被诊断为主动脉缩窄，并被转诊至我院。缩窄位于主动脉弓远端，恰好在锁骨下动脉分支处。由于主动脉弓发育不良较短，选择了选择性脑灌注下的全弓置换术。患者术后恢复顺利，术后3年情况良好。
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