Kaufeld Tim, Shrestha Malakh, Haverich Axel, Martens Andreas
Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Aorta (Stamford). 2017 Jun 1;5(3):101-102. doi: 10.12945/j.aorta.2017.16.048. eCollection 2017 Jun.
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.
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。