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经典Bentall包埋技术后升主动脉假性狭窄

Ascending Aortic Pseudostenosis following the Classic Bentall Inclusion Technique.

作者信息

Stadlbauer Andrea, Li Jing, da Silva Natascha Platz Batista, Stadlbauer Christian, Schmid Christof, Floerchinger Bernhard

机构信息

Department of Cardiothoracic Surgery, University Medical Center, Regensburg, Bavaria, Germany.

Department of Radiology, University Medical Center, Regensburg, Bavaria, Germany.

出版信息

Aorta (Stamford). 2023 Feb;11(1):36-39. doi: 10.1055/s-0042-1757871. Epub 2023 Feb 27.

DOI:10.1055/s-0042-1757871
PMID:36848910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9970756/
Abstract

We present the case of a 52-year-old with a history of aortic valve replacement and replacement of the ascending aorta with the graft inclusion technique presenting with dizziness and collapse. Computed tomography and coronary angiography revealed pseudoaneurysm formation at the anastomotic site causing aortic pseudostenosis. Due to severe calcification of the graft inclusion surrounding the ascending aorta, we performed a redo ascending aortic replacement using a two-circuit cardiopulmonary bypass to avoid deep hypothermic cardiac arrest.

摘要

我们报告一例52岁患者，有主动脉瓣置换及采用移植物包绕技术置换升主动脉的病史，现出现头晕和晕厥。计算机断层扫描和冠状动脉造影显示吻合部位形成假性动脉瘤，导致主动脉假性狭窄。由于升主动脉周围移植物包绕严重钙化，我们使用双回路体外循环进行再次升主动脉置换，以避免深低温停循环。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/d4b32d1e5e1e/10-1055-s-0042-1757871-i210030-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/0d736c245d1a/10-1055-s-0042-1757871-i210030-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/21d54829eee4/10-1055-s-0042-1757871-i210030-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/d4b32d1e5e1e/10-1055-s-0042-1757871-i210030-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/0d736c245d1a/10-1055-s-0042-1757871-i210030-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/21d54829eee4/10-1055-s-0042-1757871-i210030-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9b/9970756/d4b32d1e5e1e/10-1055-s-0042-1757871-i210030-3.jpg

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Aorta (Stamford). 2023 Feb;11(1):36-39. doi: 10.1055/s-0042-1757871. Epub 2023 Feb 27.
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本文引用的文献

1
Dual inflow without circulatory arrest for hemiarch replacement.半弓置换术中无循环阻断的双流入技术
J Cardiothorac Surg. 2019 Jan 10;14(1):9. doi: 10.1186/s13019-018-0826-2.
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Intermittent upper and lower body perfusion during circulatory arrest is safe for aortic repair.循环骤停期间间歇性上下半身灌注用于主动脉修复是安全的。
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Effects of intermittent lower body perfusion on end-organ function during repair of acute DeBakey type I aortic dissection under moderate hypothermic circulatory arrest.
间歇性下肢灌注对中低温循环停跳下急性 DeBakey I 型主动脉夹层修复术时器官功能的影响。
Eur J Cardiothorac Surg. 2013 Dec;44(6):1070-4; discussion 1074-5. doi: 10.1093/ejcts/ezt145. Epub 2013 Mar 18.
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Surgery for acute type a aortic dissection: comparison of techniques.
Eur J Cardiothorac Surg. 2000 Sep;18(3):307-12. doi: 10.1016/s1010-7940(00)00513-3.
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A technique for complete replacement of the ascending aorta.一种完全替换升主动脉的技术。
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Sixteen-year experience with aortic root replacement. Results of 172 operations.主动脉根部置换术的十六年经验。172例手术的结果。
Ann Surg. 1991 Sep;214(3):308-18; discussion 318-20. doi: 10.1097/00000658-199109000-00013.
7
Composite valve graft replacement of the proximal aorta: comparison of techniques in 348 patients.升主动脉复合人工血管置换术：348例患者的技术比较
Ann Thorac Surg. 1992 Sep;54(3):427-37; discussion 438-9. doi: 10.1016/0003-4975(92)90432-4.