Wada Takuya, Ohuchi Shingo, Oyama Shogo
Department of Cardiovascular Surgery, Nakadori General Hospital, Akita, Japan; Department of Cardiovascular Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Department of Cardiovascular Surgery, Nakadori General Hospital, Akita, Japan.
Ann Thorac Surg. 2022 Feb;113(2):e99-e101. doi: 10.1016/j.athoracsur.2021.04.066. Epub 2021 May 6.
Cardiac or aortic surgeries requiring cardiopulmonary bypass in combination with patent ductus arteriosus in adults present a special problem that requires a tailored approach. We report a case of ruptured type A acute aortic dissection in a 73-year-old woman with patent ductus arteriosus. In this case, we highlight that transpulmonary direct ductus arteriosus closure and subsequent frozen elephant deployment with total arch replacement are reasonable and reliable treatments for type A acute aortic dissection in a patient with patent ductus arteriosus.
成人中需要体外循环并合并动脉导管未闭的心脏或主动脉手术存在特殊问题，需要采取针对性的方法。我们报告一例73岁患有动脉导管未闭的女性发生A型急性主动脉夹层破裂的病例。在此病例中，我们强调经肺直接闭合动脉导管以及随后在全弓置换术中应用“冰冻象鼻”技术是治疗患有动脉导管未闭的A型急性主动脉夹层的合理且可靠的治疗方法。
