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A型主动脉夹层中内膜瓣的左心室套叠

Left Ventricular Intussusception of an Intimal Flap in an Aortic Dissection Stanford Type A.

作者信息

Kaufeld Tim, Shrestha Malakh, Haverich Axel, Martens Andreas

机构信息

Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany.

出版信息

Aorta (Stamford). 2017 Jun 1;5(3):101-102. doi: 10.12945/j.aorta.2017.16.048. eCollection 2017 Jun.

Abstract

A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima. An intussusception of the intima flap into the left ventricular outflow tract was also observed. This case presents a very rare surgical treatment involving root repair using tissue adhesives for a left ventricular intimal flap.

摘要

一名75岁女性因突发严重胸痛被送入急诊科。经胸超声心动图显示为一例不寻常的斯坦福A型主动脉夹层,升主动脉内膜完全周向剥离。还观察到内膜瓣套叠进入左心室流出道。该病例呈现了一种非常罕见的手术治疗方法,即使用组织粘合剂对左心室内膜瓣进行根部修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ff/5899609/c5c213391403/10-12945-j-aorta-2017-16-048-i05101-1.jpg

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