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升主动脉假性动脉瘤形成伴急性A型主动脉夹层破裂

Ascending aortic false aneurysm formation associated with rupture of acute type a aortic dissection.

作者信息

Yamane Yoshitaka, Mukai Shogo, Morimoto Hironobu, Okubo Shuhei

机构信息

Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan.

出版信息

Ann Vasc Dis. 2015;8(1):49-51. doi: 10.3400/avd.cr.14-00122. Epub 2015 Feb 16.

DOI:10.3400/avd.cr.14-00122
PMID:25848434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4369569/
Abstract

A 63-year-old man with ruptured acute type A aortic dissection was referred to our hospital. Computed tomography showed a false aneurysm arising from the false lumen located beside the ascending aorta. His hemodynamic status was stable inspite of the ruptured acute aortic dissection. We consider that the containment of the false aneurysm by thin mediastinal structures prevented worsening of his hemodynamic status, and this is extremely rare.

摘要

一名63岁急性A型主动脉夹层破裂的男性患者被转诊至我院。计算机断层扫描显示在升主动脉旁的假腔形成了一个假性动脉瘤。尽管急性主动脉夹层破裂，但他的血流动力学状态稳定。我们认为纵隔薄结构对假性动脉瘤的包裹防止了其血流动力学状态恶化，而这种情况极为罕见。

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本文引用的文献

1
Reoperations for aortic false aneurysms after cardiac surgery.心脏手术后主动脉假性动脉瘤的再次手术。
Ann Thorac Surg. 2010 Nov;90(5):1437-43. doi: 10.1016/j.athoracsur.2010.06.103.
2
Surgical treatment of pseudoaneurysm of the thoracic aorta.胸主动脉假性动脉瘤的外科治疗。
J Thorac Cardiovasc Surg. 2006 Aug;132(2):379-85. doi: 10.1016/j.jtcvs.2006.03.052.
3
Blunt injury to the ascending aorta: three patterns of presentation.升主动脉钝性损伤：三种临床表现形式。
Surgery. 1996 Jun;119(6):603-10. doi: 10.1016/s0039-6060(96)80183-8.