Carrel Thierry, Hurni Samuel, Huber Christoph, Englberger Lars
Clinic for Cardiovascular Surgery, University Hospital Bern and University of Bern, Bern, Switzerland.
Aorta (Stamford). 2016 Dec 1;4(6):244-247. doi: 10.12945/j.aorta.2016.16.031. eCollection 2016 Dec.
We present a simplified surgical technique that was performed on a 37-year-old man who presented with a pseudoaneurysm of the left coronary ostium two months after repair of acute Type A aortic dissection with a composite graft. Intraoperatively, the surgical sites showed extreme adhesions. The leakage at the level of the coronary suture line was exposed from inside the aortic graft. Repair was performed using 7.0 polypropylene sutures, and the postoperative course was uneventful. The patient was discharged on postoperative day six without further complications.
我们介绍了一种简化的手术技术，该技术应用于一名37岁男性患者，该患者在采用复合移植物修复急性A型主动脉夹层两个月后，出现左冠状动脉口假性动脉瘤。术中发现手术部位粘连严重。从主动脉移植物内部暴露冠状动脉缝线处的渗漏。使用7.0聚丙烯缝线进行修复，术后过程顺利。患者术后第6天出院，无进一步并发症。
