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双瓣膜置换术后迟发性主动脉假性动脉瘤1例罕见病例。

A rare case of late aortic pseudoaneurysm post double valve replacement.

作者信息

Soumyadip Saha, Nayem Raja, Anurag Agarwal, Tanunita Mondal, Subodh Satyarthi

机构信息

Department of Cardiovascular and Thoracic Surgery, G. B Pant Institute of Postgraduate Medical Education and Research, University of Delhi, New Delhi, India.

Department of Anaesthesiology, G. B Pant Institute of Postgraduate Medical Education and Research, University of Delhi, New Delhi, India.

出版信息

Indian J Thorac Cardiovasc Surg. 2018 Jul;34(3):425-428. doi: 10.1007/s12055-017-0623-x. Epub 2017 Dec 16.

DOI:10.1007/s12055-017-0623-x
PMID:33060908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7525690/
Abstract

Here, we present a case of pseudoaneurysm of the aorta, 2 years after double valve replacement (DVR) in an 18-year-old male patient presented with a pulsatile swelling over the sternum. The pseudoaneurysm of the aorta extending up to the skin 2 years after cardiac surgery is a rare condition. Most cases are asymptomatic and need emergency surgery. Here, we present the case which was successfully managed with surgery.

摘要

在此，我们报告一例主动脉假性动脉瘤病例，该病例发生在一名18岁男性患者进行双瓣膜置换术（DVR）2年后，患者胸骨上方出现搏动性肿块。心脏手术后2年主动脉假性动脉瘤延伸至皮肤是一种罕见情况。大多数病例无症状，需要紧急手术。在此，我们展示了通过手术成功治疗的该病例。

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本文引用的文献

1
Formation of pseudoaneurysm after aortic valve replacement without previous endocarditis: a case-control study.主动脉瓣置换术后无先前心内膜炎形成假性动脉瘤：病例对照研究。
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A rare cause of dissection of ascending aorta after aortic valve replacement.主动脉瓣置换术后升主动脉夹层形成的罕见原因。
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Diagnosis and management of aortic dissection.主动脉夹层的诊断与管理
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Mediastinal false aneurysm after thoracic aortic surgery.胸主动脉手术后纵隔假性动脉瘤
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Aortic dissection after aortic valve replacement: incidence and consequences for strategy.主动脉瓣置换术后主动脉夹层：发生率及对治疗策略的影响
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Pseudoaneurysm of the ascending aorta following cardiac surgery.心脏手术后升主动脉假性动脉瘤
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