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小心处理:一位老年患者的动脉导管瘤

Handle With Care: A Ductus Arteriosus Aneurysm in an Elderly Patient.

作者信息

Gili Sebastiano, Orzan Fulvio, D'Ascenzo Fabrizio, Montefusco Antonio, Omedé Pierluigi

机构信息

Division of Cardiology, Department of Medical Sciences, Città della Salute e della Scienza, University of Turin Corso Dogliotti 14, 10126, Turin, Italy.

出版信息

J Invasive Cardiol. 2017 Aug;29(8):E96-E97.

PMID:28756426
Abstract

A ductus arteriosus aneurysm (DAA) was corrected with an 18 mm Amplatzer patent foramen ovale occluder. DAA is a rare finding, with sporadic cases reported (the vast majority in children and infants). In the elderly, it poses serious therapeutic challenges, as the risk of rupture is counterbalanced by the high risk of its correction, which requires surgery or placement of an endovascular prosthesis in a critical region such as the aortic arch.

摘要

采用18毫米的Amplatzer卵圆孔未闭封堵器矫正动脉导管瘤(DAA)。DAA是一种罕见的病症,仅有散发病例报道(绝大多数发生在儿童和婴儿身上)。在老年人中,它带来了严峻的治疗挑战,因为破裂风险与矫正的高风险相权衡,而矫正需要在诸如主动脉弓等关键区域进行手术或植入血管内假体。

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