Yoneyama Fumiya, Kato Hideyuki, Mathis Bryan, Hiramatsu Yuji
Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
Heart Surg Forum. 2021 Mar 3;24(2):E231-E232. doi: 10.1532/hsf.3533.
A 57-year-old female with Loeys-Dietz syndrome type 3 and MYH11 gene mutation underwent unexpected intraoperative ascending aortic dissection and subsequent rapid progression of the aortic arch dissecting aneurysm. Intra-surgical contingency plans with regard to aortic dissection and aneurysm should be considered for Loeys-Dietz syndrome, especially with comorbid mutations.
一名患有3型洛伊斯-迪茨综合征和MYH11基因突变的57岁女性在术中意外发生升主动脉夹层,并随后出现主动脉弓夹层动脉瘤的快速进展。对于洛伊斯-迪茨综合征,尤其是伴有合并突变的情况,应考虑制定关于主动脉夹层和动脉瘤的术中应急计划。