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[卡布罗尔手术成功治疗合并急性主动脉夹层(斯坦福A型)的主动脉环扩张症]

[A successful treatment of Cabrol's procedure for annuloaortic ectasia with an acute aortic dissection (Stanford type A)].

作者信息

Ohhira M, Takahashi H, Kawajiri F, Tanaka N, Iwa T

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1590-6.

PMID:2809325
Abstract

A 67-year-old female who has an Annuloaortic ectasia with an acute aortic dissection was urgently admitted to our hospital. She was also suspected to have developed into an acute cardiac tamponade. An aortic dissection was arised from just above the right coronary artery orific and extended to the innominate artery and the right common carotid artery. In this case Cabrol's procedure with cerebral perfusion technique was considered to be a good indication, but standard Cabrol's procedure provided almost satisfactory results without utilizing a cerebral perfusion technique because disappearance of pressure difference between both hands and the right common carotid artery after reconstruction. Her postoperative course was uneventful and aortography confirmed competence of the prosthetic valve, good patency of the coronary arteries without false aneurysm formation. Cabrol's procedure is a reliable method for Annulo-aortic ectasia especially with an acute aortic dissection of the ascending aorta.

摘要

一名67岁女性,患有主动脉环扩张并伴有急性主动脉夹层,被紧急送往我院。她还疑似发展为急性心脏压塞。主动脉夹层起源于右冠状动脉开口上方,延伸至无名动脉和右颈总动脉。在这种情况下,采用脑灌注技术的卡布罗尔手术被认为是一个很好的适应证,但标准的卡布罗尔手术在未使用脑灌注技术的情况下也取得了几乎令人满意的结果,因为重建后双手与右颈总动脉之间的压差消失了。她的术后过程顺利,主动脉造影证实人工瓣膜功能正常,冠状动脉通畅良好,无假性动脉瘤形成。卡布罗尔手术是治疗主动脉环扩张尤其是升主动脉急性主动脉夹层的可靠方法。

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