Mehta Anand R, Wakefield Brett J, Collier Patrick, Kalahasti Vidyasagar, Grimm Richard, Najm Hani, Pettersson Gosta
Department of Cardiothoracic Anesthesia, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.
Section of Cardiovascular Imaging, Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
CASE (Phila). 2021 Aug 14;5(5):292-300. doi: 10.1016/j.case.2021.07.009. eCollection 2021 Oct.
• Degeneration of a Konno patch can result in a complicated aortic pseudoaneurysm. • Multimodality imaging was required for diagnosis and intraoperative management. • Peripheral cardiopulmonary bypass and retroplegic cardiac arrestprior to sternotomy can prevent fatal hemorrhage. • An endovascular aortic occlusion device can be used to “clamp” the aorta. • Multimodal imaging and a multidisciplinary team were required for optimal results.
• 康诺补片退变可导致复杂性主动脉假性动脉瘤。
• 诊断和术中管理需要多模态成像。
• 在胸骨切开术前进行外周体外循环和逆行性心脏停搏可预防致命性出血。
• 血管内主动脉封堵装置可用于“钳夹”主动脉。
• 为获得最佳结果，需要多模态成像和多学科团队。
