Şişli Emrah, Bozkaya Halil, Ayık Mehmet Fatih, Atay Yüksel
Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Department of Radiology, Ege University Faculty of Medicine, İzmir, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):476-479. doi: 10.5606/tgkdc.dergisi.2018.14384. eCollection 2018 Jul.
A 13-year-old boy who underwent thoracoabdominal aortic bypass when he was three years old for middle aortic syndrome was admitted with fatigue and need for an increased dose of antihypertensive mediations. The graft was patent, but there were stenoses at the juxta-proximal and juxta-distal anastomosis sites. A partial benefit was gained with endovascular stenting. Although postponement of surgery, until the child reaches full growth is preferred, surgery remains the inevitable treatment of choice in patients with middle aortic syndrome. In contrary, it is important to use the graft as large as possible during the initial operation to avoid patient-graft mismatch in the future.
一名13岁男孩，3岁时因中主动脉综合征接受胸腹主动脉搭桥手术，现因疲劳及需要增加抗高血压药物剂量入院。移植血管通畅，但在近端和远端吻合口处存在狭窄。血管内支架置入术取得了部分疗效。虽然最好将手术推迟到患儿完全发育成熟，但对于中主动脉综合征患者，手术仍是不可避免的首选治疗方法。相反，在初次手术时尽可能使用大口径的移植血管很重要，以避免将来出现患者与移植血管不匹配的情况。
