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Bentall手术后35年出现的巨大远端吻合口假性动脉瘤,形似“象鼻”。

Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an "Elephant Trunk".

作者信息

Scaffa Raffaele, Torre Mario, Longobardi Antonio, Ferrara David, Vassallo Maria G, Itri Francesco, Coscioni Enrico

机构信息

Division of Cardiac Surgery, Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.

出版信息

Aorta (Stamford). 2021 Oct;9(5):193-195. doi: 10.1055/s-0041-1732399. Epub 2021 Dec 8.

DOI:10.1055/s-0041-1732399
PMID:34879402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8654511/
Abstract

We present the case of a giant distal aortic pseudoaneurysm 35 years after a classic mechanical Bentall operation. Computed tomography and coronary angiography showed that this originated from the distal suture line. The proximal suture and coronary ostia appeared to be intact. At reoperation, we found a complete dehiscence of distal suture line: the graft was floating in the pseudoaneurysm, mimicking an "elephant trunk" procedure. This complication suggested a systematic and accurate follow-up of patients who underwent an original Bentall procedure.

摘要

我们报告一例经典机械性Bentall手术后35年出现巨大远端主动脉假性动脉瘤的病例。计算机断层扫描和冠状动脉造影显示,该假性动脉瘤起源于远端缝合线。近端缝合线和冠状动脉开口似乎完好无损。再次手术时,我们发现远端缝合线完全裂开:移植物漂浮在假性动脉瘤内,类似“象鼻”手术。这一并发症提示,对于接受过初次Bentall手术的患者,应进行系统而准确的随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/bbd5d74f2e69/10-1055-s-0041-1732399-i200060-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/2873fed0452c/10-1055-s-0041-1732399-i200060-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/d42cc6e10d20/10-1055-s-0041-1732399-i200060-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/bbd5d74f2e69/10-1055-s-0041-1732399-i200060-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/2873fed0452c/10-1055-s-0041-1732399-i200060-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/d42cc6e10d20/10-1055-s-0041-1732399-i200060-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bb/8654511/bbd5d74f2e69/10-1055-s-0041-1732399-i200060-3.jpg

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本文引用的文献

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