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升主动脉瘤、多发性大动脉炎所致颈血管狭窄或闭塞的一站式修复。

Single-stage repair for ascending aortic aneurysm, artery stenosis and occlusion of neck vessels caused by Takayasu arteritis.

机构信息

Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac180.

DOI:10.1093/icvts/ivac180
PMID:35748738
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9336583/
Abstract

Takayasu arteritis results in a variety of vascular symptoms, and there are some cases in which progressive vascular lesions require surgical intervention. We present a case with ascending aortic aneurysm, right common carotid artery stenosis, left common carotid artery occlusion and left subclavian artery stenosis caused by Takayasu arteritis that was successfully treated with total arch replacement and ascending aorta to right internal carotid artery bypass.

摘要

Takayasu 动脉炎可导致多种血管症状，有些情况下进展性血管病变需要手术干预。我们报告一例由 Takayasu 动脉炎引起的升主动脉瘤、右颈总动脉狭窄、左颈总动脉闭塞和左锁骨下动脉狭窄的病例，成功地接受了全主动脉弓置换和升主动脉至右颈内动脉旁路手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636c/9336583/c717d0fabb3a/ivac180f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636c/9336583/e28eb478f90a/ivac180f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636c/9336583/c717d0fabb3a/ivac180f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636c/9336583/e28eb478f90a/ivac180f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636c/9336583/c717d0fabb3a/ivac180f2.jpg

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本文引用的文献

1
Obstructive carotid and/or intracranial artery disease rarely affects the incidence of haemodynamic ischaemic stroke during cardiac surgery: a study on brain perfusion single-photon emission computed tomography with acetazolamide.阻塞性颈动脉和/或颅内动脉疾病很少影响心脏手术期间血流动力学缺血性卒中的发生率：一项使用乙酰唑胺的脑灌注单光子发射计算机断层扫描研究
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Pulsatile versus nonpulsatile flow during cardiopulmonary bypass: microcirculatory and systemic effects.体外循环中搏动与非搏动血流：微循环和全身效应。
Ann Thorac Surg. 2012 Dec;94(6):2046-53. doi: 10.1016/j.athoracsur.2012.05.065. Epub 2012 Jul 25.
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Takayasu arteritis--advances in diagnosis and management.
Takayasu 动脉炎——诊断和治疗的进展。
Nat Rev Rheumatol. 2010 Jul;6(7):406-15. doi: 10.1038/nrrheum.2010.82.
4
Overview of late outcome of medical and surgical treatment for Takayasu arteritis.大动脉炎内科及外科治疗的远期疗效概述
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Aortic aneurysms in patients with Takayasu's arteritis: CT evaluation.大动脉炎患者的主动脉瘤：CT评估
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