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病例报告:主动脉瓣置换术后并发升主动脉夹层、肺动脉夹层及主肺动脉瘘

Case Report: Simultaneous Ascending Aortic Dissection and Pulmonary Artery Dissection Combined by Aortopulmonary Fistula After Aortic Valve Replacement.

作者信息

Song Lihui, Xiong Sizheng, Li Jun

机构信息

Department of Cardiothoracic and Vascular Surgery, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Cardiovasc Med. 2021 Nov 18;8:779993. doi: 10.3389/fcvm.2021.779993. eCollection 2021.

Abstract

Aortopulmonary fistula with/without pulmonary artery dissection is an extremely rare and fatal complication of acute aortic dissection and is often discovered postmortem. We present a case with a simultaneous ascending aortic dissection and pulmonary artery dissection combined by aortopulmonary fistula after aortic valve surgery. However, the patient died of postoperative complications after surgery. Herein, the anatomical basis for this rare entity and its outcome is explored with an emphasis.

摘要

伴有或不伴有肺动脉夹层的主肺动脉瘘是急性主动脉夹层极其罕见且致命的并发症,常于尸检时发现。我们报告一例主动脉瓣置换术后并发升主动脉夹层、肺动脉夹层及主肺动脉瘘的病例。然而,该患者术后死于并发症。在此,着重探讨这一罕见病症的解剖学基础及其转归。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f242/8636793/be3e455e64eb/fcvm-08-779993-g0001.jpg

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