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1例在微创主动脉瓣置换术和腹膜后肿瘤切除术后行胸主动脉腔内修复术治疗急性主动脉夹层的病例。

A case of TEVAR for acute aortic dissection after MICS AVR and retroperitoneal tumor resection.

作者信息

Tsutsui Masahiro, Narita Masahiko, Ushioda Ryohei, Kikuchi Yuta, Shirasaka Tomonori, Ishikawa Natsuya, Kamiya Hiroyuki

机构信息

Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

出版信息

J Surg Case Rep. 2021 Dec 23;2021(12):rjab559. doi: 10.1093/jscr/rjab559. eCollection 2021 Dec.

Abstract

If multiple treatments are performed within a short time, when something occurs, it is difficult to identify its cause. Here, we present a case of thoracic endovascular aortic repair (TEVAR) for acute aortic dissection (AAD) after multiple treatments. A 76-year-old woman underwent minimally invasive aortic valve replacement, transcatheter lumbar artery embolism and retroperitoneal tumor resection within a short period of time. After a series of procedures, the patient experienced sudden back pain, and computed tomography revealed an AAD Type B. Her back pain persisted; therefore, we performed TEVAR, and the post-operative course was uneventful. In this case, the relationship between AAD and treatment before AAD was unclear, but AAD should considered when performing treatments that may cause AAD.

摘要

如果在短时间内进行多种治疗,当出现问题时,很难确定其原因。在此,我们报告一例在接受多种治疗后进行胸主动脉腔内修复术(TEVAR)治疗急性主动脉夹层(AAD)的病例。一名76岁女性在短时间内接受了微创主动脉瓣置换术、经导管腰动脉栓塞术和腹膜后肿瘤切除术。经过一系列手术后,患者突然出现背痛,计算机断层扫描显示为B型主动脉夹层。她的背痛持续存在;因此,我们进行了TEVAR,术后过程顺利。在本病例中,AAD与AAD发生前的治疗之间的关系尚不清楚,但在进行可能导致AAD的治疗时应考虑到AAD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/951f/8702344/d72c28e894f5/rjab559f1.jpg

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