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胸主动脉腔内修复术(TEVAR)在治疗合并斯坦福B型主动脉夹层的侏儒症中的应用:一例报告

Application of thoracic endovascular aortic repair (TEVAR) in treating dwarfism with Stanford B aortic dissection: A case report.

作者信息

Qiu Jian, Cai Wenwu, Shu Chang, Li Ming, Xiong Qinggen, Li Quanming, Li Xin

机构信息

Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.

出版信息

Medicine (Baltimore). 2018 Apr;97(17):e0542. doi: 10.1097/MD.0000000000010542.

Abstract

RATIONALE

To apply thoracic endovascular aortic repair (TEVAR) to treat dwarfism complicated with Stanford B aortic dissection.

PATIENT CONCERNS

In this report, we presented a 63-year-old male patient of dwarfism complicated with Stanford B aortic dissection successfully treated with TEVAR.

DIAGNOSES

He was diagnosed with dwarfism complicated with Stanford B aortic dissection.

INTERVENTIONS

After conservative treatment, the male patient underwent TEVAR at 1 week after hospitalization. After operation, he presented with numbness and weakness of his bilateral lower extremities, and these symptoms were significantly mitigated after effective treatment. At 1- and 3-week after TEVAR, the aorta status was maintained stable and restored.

OUTCOMES

The patient obtained favorable clinical prognosis and was smoothly discharged. During subsequent follow-up, he remained physically stable.

LESSONS

TEVAR is probably an option for treating dwarfism complicated with Stanford B aortic dissection, which remains to be validated by subsequent studies with larger sample size.

摘要

原理

应用胸主动脉腔内修复术(TEVAR)治疗侏儒症合并Stanford B型主动脉夹层。

患者情况

在本报告中,我们介绍了一名63岁患有侏儒症合并Stanford B型主动脉夹层的男性患者,成功接受了TEVAR治疗。

诊断

他被诊断为侏儒症合并Stanford B型主动脉夹层。

干预措施

经过保守治疗后,该男性患者在住院1周后接受了TEVAR治疗。术后,他出现双下肢麻木和无力,经有效治疗后这些症状明显减轻。TEVAR术后1周和3周时,主动脉状态保持稳定并恢复。

结果

患者获得了良好的临床预后并顺利出院。在随后的随访中,他身体状况保持稳定。

经验教训

TEVAR可能是治疗侏儒症合并Stanford B型主动脉夹层的一种选择,这仍有待后续更大样本量的研究来验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8597/5944474/64d531c5e65d/medi-97-e0542-g001.jpg

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