复杂急性 B 型主动脉夹层的紧急选择。
Emergent option in complicated acute type B aortic dissection.
机构信息
Heart Center, Kasukabe Chuo General Hospital, Kasukabe, Japan
Heart Center, Kasukabe Chuo General Hospital, Kasukabe, Japan.
出版信息
BMJ Case Rep. 2022 Apr 29;15(4):e249204. doi: 10.1136/bcr-2022-249204.
Abstract
Man in his 30s was diagnosed with type B acute aortic dissection with malperfusion syndrome. Emergent endovascular therapy assisted by intravascular ultrasound was performed due to the unavailability of the neighbourhood cardiovascular surgeons and stored stent grafts. Stenting at the dissected superior mesenteric artery resolved the malperfusion syndrome. Acute aortic dissection complicated by malperfusion syndrome warrants rapid diagnosis and appropriate treatment. Endovascular therapy could be the most promptly accessible and effective strategy in certain situations. Intravascular ultrasound is also crucial for proper wiring and stenting.
摘要
一名 30 多岁的男性被诊断为 B 型急性主动脉夹层伴灌注不良综合征。由于附近心血管外科医生和储存的支架移植物不可用，紧急进行了血管内超声辅助的腔内治疗。在夹层的肠系膜上动脉进行支架置入术解决了灌注不良综合征。急性主动脉夹层伴灌注不良综合征需要快速诊断和适当的治疗。在某些情况下，腔内治疗可能是最迅速可行和有效的策略。血管内超声对于正确布线和支架置入也至关重要。
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