Division of Cardiothoracic Surgery, University of Wisconsin, Madison, Wisconsin, USA.
Department of Cardiothoracic Surgery, Stanford University, Stanford, California, USA.
J Card Surg. 2021 Jun;36(6):2136-2139. doi: 10.1111/jocs.15459. Epub 2021 Mar 2.
Pulmonary artery dissection is rare but highly lethal. Recent reports suggest that surgical repair of pulmonary artery dissection may yield good outcomes in selected patients, although postoperative right ventricular failure and death have been described. Currently, only one patient over age 60 years old has been reported to survive open surgical repair of pulmonary artery dissection. Here, we present the case of a sexagenarian with pulmonary artery hypertension complicated by a dissected pulmonary artery aneurysm which was successfully repaired using a composite valve-tube graft under a beating-heart strategy.
肺动脉夹层罕见但致命。最近的报告表明，在选择的患者中，肺动脉夹层的手术修复可能产生良好的结果，尽管已经描述了术后右心室衰竭和死亡。目前，只有一名 60 岁以上的患者报告成功地接受了开胸手术修复肺动脉夹层。在这里，我们报告了一例 60 岁以上的老年患者，该患者患有肺动脉高压，并伴有夹层肺动脉瘤，在心脏不停跳的策略下使用复合瓣-管移植物成功修复。
