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巨大主动脉弓动脉瘤与心血管-声带综合征:仍是开放手术指征

Giant Aortic Arch Aneurysm and Cardio-vocal Syndrome: Still An Open-surgery Indication.

作者信息

Garrido Jose M, Esteban Maria, Lara Juan, Rodriguez-Vazquez Jose F, Verdugo-Lopez Samuel, Lopez-Checa Salvador

机构信息

Department of Cardiac Surgery, Department of Anatomy and Embryology II, Ramon y Cajal Hospital, Complutense University, Madrid, Spain.

Department of Cardiovascular Surgery, Virgen de las Nieves Hospital, Granada, Spain.

出版信息

Cardiol Res. 2011 Dec;2(6):304-306. doi: 10.4021/cr101w. Epub 2011 Nov 20.

DOI:10.4021/cr101w
PMID:28352401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5358261/
Abstract

The Cardio-vocal Syndrome (Ortner's syndrome) is described as hoarseness due to the left recurrent laryngeal nerve palsy, caused by a specific cardiovascular pathology. In this case, we present a patient with a giant aortic arch aneurysm with an initial clinical presentation of Cardio-vocal Syndrome. The conventional open-surgery, instead of endovascular approach, was useful to control the morbidity from the compressive effect of adjacent structures, also preventing the aortic rupture. We strongly recommend analyzing carefully the individual case and the clinical targets to resolve, because the new technologies are not always the most effective therapeutic response.

摘要

心血管-声带综合征(奥尔特纳综合征)被描述为由特定心血管病变引起的左侧喉返神经麻痹导致的声音嘶哑。在本病例中,我们报告了一名患有巨大主动脉弓动脉瘤的患者,其最初临床表现为心血管-声带综合征。与血管内治疗方法不同,传统的开放手术有助于控制相邻结构压迫效应所致的发病率,还能预防主动脉破裂。我们强烈建议仔细分析个体病例和需要解决的临床目标,因为新技术并不总是最有效的治疗反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/032f5ffa0a6c/cr-02-304-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/67a84fe88d69/cr-02-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/3c35b361c373/cr-02-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/cb4fa84ebfbe/cr-02-304-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/032f5ffa0a6c/cr-02-304-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/67a84fe88d69/cr-02-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/3c35b361c373/cr-02-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/cb4fa84ebfbe/cr-02-304-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932d/5358261/032f5ffa0a6c/cr-02-304-g004.jpg

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Ortner's syndrome: A systematic review of presentation, diagnosis and management.奥尔特纳综合征:临床表现、诊断及治疗的系统评价
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Hoarseness Due to Aortic Arch Aneurysms.因主动脉弓动脉瘤导致的声音嘶哑。

本文引用的文献

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Repair of multiple aneurysms of the thoracic aorta with a hybrid prosthesis.
J Card Surg. 2011 Mar;26(2):197-200. doi: 10.1111/j.1540-8191.2011.01211.x. Epub 2011 Feb 22.
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State-of-the-art of hybrid procedures for the aortic arch: a meta-analysis.主动脉弓杂交手术的最新进展:荟萃分析。
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Failure to exclude a saccular arch aneurysm during hybrid repair: arch replacement without cerebral circulatory arrest.在杂交修复过程中未能排除囊状弓动脉瘤:在无脑循环停止的情况下进行弓置换。
Interact Cardiovasc Thorac Surg. 2009 Oct;9(4):677-9. doi: 10.1510/icvts.2009.208413. Epub 2009 Jul 24.
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Cardiovascular hoarseness: an unusual presentation to otolaryngologists.心血管性声嘶:耳鼻喉科医生遇到的不寻常表现。
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