Shinohara K, Baba N, Takayama Y, Sato O, Takagi A, Tada Y, Idezuki Y
Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1988 Jan;89(1):122-7.
A twenty-nine-year old female was diagnosed as the associated aortic arch aneurysm 14 years after the initial diagnosis of the pseudocoarctation of the aorta. The aneurysm was asymptomatic and aortogram revealed that it was located just proximal to the pseudocoarctation. The aneurysmal wall was so thin that intraluminal blood stream could be visible easily during operation. Aneurysmectomy and Dacron graft implantation was successfully performed with temporary bypass procedure. In most of the cases, pseudocoarctation of the aorta has been reported to be a congenital entity without indication for any surgical intervention. However some cases in the literature were combined with formation of the aneurysm during the long term follow-up period. Careful observation must be needed for a case of pseudocoarctation of the aorta and the associated aneurysm should be treated surgically even if asymptomatic.
一名29岁女性在初次诊断为主动脉假性缩窄14年后，被诊断出合并主动脉弓动脉瘤。该动脉瘤无症状，主动脉造影显示其位于假性缩窄近端。动脉瘤壁非常薄，术中很容易看到管腔内的血流。通过临时旁路手术成功进行了动脉瘤切除术和涤纶人工血管植入术。在大多数情况下，据报道主动脉假性缩窄是一种先天性疾病，无需任何手术干预。然而，文献中的一些病例在长期随访期间合并了动脉瘤形成。对于主动脉假性缩窄病例必须进行仔细观察，即使无症状，相关动脉瘤也应进行手术治疗。
