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病例报告:一种用于紧急修复与先天性主动脉缩窄相关的急性主动脉破裂的新方法。

Case report: a novel approach for the emergency repair of acute aortic rupture associated with congenital aortic Coarctation.

作者信息

Pu Xin, Wang Maozhou, Huang Xiaoyong, Zhang Hongjia, Huang Lianjun

机构信息

Department of Intervention Diagnosis and Therapy, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

出版信息

J Cardiothorac Surg. 2021 Jun 9;16(1):170. doi: 10.1186/s13019-021-01552-5.

Abstract

BACKGROUND

Congenital aortic coarctation (CoA) associated with aortic rupture is a rare but extremely lethal condition. In pregnant patients, the condition becomes very risky.

CASE PRESENTATION

We presented a case of a pregnant (20 weeks gestation) patient with CoA associated with ruptured aortic pseudoaneurysm who was successfully rescued using a novel hybrid strategy.

CONCLUSIONS

This hybrid approach may be a life-saving bridging intervention in patients with CoA associated with devastating complications, such as ruptured aneurysms, especially with extremely narrowed access.

摘要

背景

先天性主动脉缩窄(CoA)合并主动脉破裂是一种罕见但极其致命的疾病。对于孕妇而言,这种情况风险极高。

病例报告

我们报告了一例怀孕(妊娠20周)的CoA合并主动脉假性动脉瘤破裂的患者,该患者采用新型杂交策略成功获救。

结论

这种杂交方法可能是CoA合并诸如动脉瘤破裂等严重并发症,尤其是入路极其狭窄的患者的一种挽救生命的桥接干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e723/8191040/5515cf6645ec/13019_2021_1552_Fig1_HTML.jpg

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