补片修复后升主动脉瘤的复发：主动脉补片的转归

Recurrence of Aneurysm of the Ascending Aorta after Patch Repair: The Fate of an Aortic Patch.

作者信息

Tochii Masato, Amano Kentaro, Sakurai Yusuke, Ishikawa Hiroshi, Ishida Michiko, Higuchi Yoshiro, Takagi Yasushi

机构信息

Department of Cardiovascular Surgery, Fujita Health University, Toyoake, Aichi, Japan.

出版信息

Ann Vasc Dis. 2016;9(4):322-325. doi: 10.3400/avd.cr.16-00043. Epub 2016 Sep 7.

DOI:10.3400/avd.cr.16-00043

PMID:28018506

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5174994/

Abstract

Pseudoaneurysm of the ascending aorta is a rare but life- threatening complication after aortic cannulation and cardiovascular surgery, and it has the potential to rupture. We experienced a rare case of recurrence of aneurysm of the ascending aorta 7 years after patch repair of a small aneurysm at an aortic cannulation site. The repaired aorta had been wrapped with a Teflon felt strip during the previous surgery, and the wrapped aorta had become thin with deterioration of the normal structure of the aortic wall.

摘要

升主动脉假性动脉瘤是主动脉插管和心血管手术后一种罕见但危及生命的并发症，且有破裂的可能。我们遇到了一例罕见病例，在主动脉插管部位的一个小动脉瘤进行补片修复7年后，升主动脉瘤复发。在之前的手术中，修复的主动脉用特氟龙毡条包裹，包裹后的主动脉随着主动脉壁正常结构的恶化而变薄。