Deshpande Shantanu, Godbole Rajeev C, Godbole Yash Rajeev
Padmashree Dr D Y Patil Medical College, Nerul, Navi Mumbai, Maharashtra, India.
Godbole Hospital, Thane, Maharashtra, India.
J Cardiol Cases. 2016 Nov 18;15(2):39-42. doi: 10.1016/j.jccase.2016.10.004. eCollection 2017 Feb.
This case report represents a novel technique for the treatment of a pseudoaneurysm of the aorta. Pseudoaneurysm of the aorta has been reported in patients post heart surgery. This case report is about a patient who had a pseudoaneurysm most probably following tuberculosis. Traditionally, the treatment of choice is surgical correction; however, in the current era, there are case reports describing the use of either stent grafts or Amplatzer occluders for occlusion of the pseudoaneurysm in high-risk surgical cases. We performed successful closure of the aortic pseudoaneurysm using atrial septal occluder. < Tuberculous arteritis can result in pseudoaneurysm rarely. Our patient had a large aneurysm compressing adjoining vital structures and was very high surgical risk case. This is the first case report of closure of tuberculous pseudoaneurysm by using atrial septal occluder in a young patient. In this case we have demonstrated that large pseudoaneurysms with narrow neck can be closed very safely using atrial septal occluder with immediate symptom relief and thrombosis of pseudoaneurysm at follow-up of three months.>.
本病例报告介绍了一种治疗主动脉假性动脉瘤的新技术。心脏手术后患者出现主动脉假性动脉瘤的情况已有报道。本病例报告涉及一名患者,其假性动脉瘤很可能继发于结核病。传统上,首选治疗方法是手术矫正;然而,在当今时代,有病例报告描述了在高风险手术病例中使用支架移植物或Amplatzer封堵器来封堵假性动脉瘤。我们使用房间隔封堵器成功闭合了主动脉假性动脉瘤。<结核性动脉炎很少导致假性动脉瘤。我们的患者有一个巨大动脉瘤,压迫相邻重要结构,是手术风险极高的病例。这是首例在年轻患者中使用房间隔封堵器闭合结核性假性动脉瘤的病例报告。在本病例中,我们证明了使用房间隔封堵器可以非常安全地闭合颈部狭窄的巨大假性动脉瘤,患者症状立即缓解,且在三个月的随访中假性动脉瘤形成血栓。>