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一种治疗大动脉炎中主动脉综合征的微创方法。

A Minimally Invasive Approach for the Treatment of Mid-Aortic Syndrome in Takayasu Arteritis.

作者信息

Ha Keong Jun, Cho Won Chul, Kim Wan Kee, Kim Joon Bum

机构信息

Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2018 Dec;51(6):399-402. doi: 10.5090/kjtcs.2018.51.6.399. Epub 2018 Dec 5.

DOI:10.5090/kjtcs.2018.51.6.399
PMID:30588449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6301316/
Abstract

A 61-year-old woman who presented with claudication and dyspnea on exertion was found to have severe calcified narrowing of the descending aorta and severe insufficiency of the aortic valve. These findings were compatible with Takayasu arteritis. To treat these hemodynamic abnormalities, extra-aortic bypass surgery combined with replacement of the aortic valve and ascending aorta-to-hemiarch replacement was performed through a separated upper hemi-sternotomy and limited median laparotomy. We present our successful surgical experience with this case.

摘要

一名61岁女性，因间歇性跛行和劳力性呼吸困难就诊，检查发现降主动脉严重钙化狭窄及主动脉瓣严重关闭不全。这些表现符合大动脉炎。为治疗这些血流动力学异常，通过单独的上半胸骨切开术和有限的正中剖腹术，实施了主动脉外旁路手术联合主动脉瓣置换及升主动脉至半弓置换术。我们介绍该病例的成功手术经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/a6861d20608f/kjtcv-51-399f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/10e00d3dfb68/kjtcv-51-399f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/d4265b0fb757/kjtcv-51-399f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/a6861d20608f/kjtcv-51-399f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/10e00d3dfb68/kjtcv-51-399f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/d4265b0fb757/kjtcv-51-399f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c09/6301316/a6861d20608f/kjtcv-51-399f3.jpg

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2
Extra-anatomic Aortic Bypass for the Management of Mid-Aortic Syndrome Caused by Takayasu arteritis.解剖外主动脉旁路移植术治疗大动脉炎所致的主动脉中段综合征
Korean J Thorac Cardiovasc Surg. 2015 Feb;48(1):70-3. doi: 10.5090/kjtcs.2015.48.1.70. Epub 2015 Feb 5.
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Cardiovascular manifestations of Takayasu arteritis and their relationship to the disease activity: analysis of 204 Korean patients at a single center.
大动脉炎累及主动脉瓣患者的危险因素及手术预后。
Arthritis Res Ther. 2022 May 7;24(1):102. doi: 10.1186/s13075-022-02788-9.
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A successful case of ascending aorta--abdominal aorta bypass for middle aortic syndrome.升主动脉-腹主动脉旁路移植术治疗中段主动脉综合征1例成功病例
Vasc Endovascular Surg. 2009 Feb-Mar;43(1):96-9. doi: 10.1177/1538574408322756. Epub 2008 Sep 17.
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