Tsutsui Masahiro, Narita Masahiko, Ushioda Ryohei, Kikuchi Yuta, Shirasaka Tomonori, Ishikawa Natsuya, Kamiya Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
J Surg Case Rep. 2021 Dec 23;2021(12):rjab559. doi: 10.1093/jscr/rjab559. eCollection 2021 Dec.
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.
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。