Yada Masashi, Yamanaka Kazuo, Miwa Senri, Hirose Keiichi, Sakaguchi Hisashi, Yoshida Yukiyo, Onga Youhei, Tara Yuichi
Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Japan.
Kyobu Geka. 2017 May;70(5):377-380.
We present a case of a 44-year-old woman, with pseudoaneurysm formation at the middle of the prosthetic graft, 60 mm in diameter. She had been diagnosed with atypical coarctation due to aortitis 27 years before, and had undergone a bypass operation with 14 mm-diameter Cooley double velour graft from the ascending aorta to the abdominal aorta. This time, endovascular aortic repair was performed to prevent rupture of the pseudoaneurysm. Though a knitted Dacron graft has a risk of psuedaneurysm formation long patency could be obtained when used in ascending aorta-abdominal aorta bypass.
我们报告一例44岁女性病例,其人工血管中部形成假性动脉瘤,直径60毫米。她27年前因大动脉炎被诊断为非典型主动脉缩窄,并接受了从升主动脉到腹主动脉的14毫米直径库利双绒面人工血管搭桥手术。此次,为防止假性动脉瘤破裂进行了血管腔内主动脉修复术。尽管针织涤纶人工血管有形成假性动脉瘤的风险,但用于升主动脉-腹主动脉搭桥时可获得较长的通畅期。