改良Bentall手术后右冠状动脉纽扣状假性动脉瘤
Right Coronary Artery Button Pseudoaneurysm After the Modified Bentall Procedure.
作者信息
Nguyen Kaitlin A, Keshavamurthy Suresh, Yoon Jeongae, Kashem Mohammed A, Toyoda Yoshiya
机构信息
Department of Surgery, Division of Cardiovascular Surgery, Temple University Hospital, Philadelphia, USA.
Department of Cardiothoracic Surgery, University of Kentucky, Lexington, USA.
出版信息
Cureus. 2023 Jun 8;15(6):e40144. doi: 10.7759/cureus.40144. eCollection 2023 Jun.
Anastomoses of the coronary buttons are the Achilles' heel of the modified Bentall procedure (MBP) for the repair of the aortic root and ascending aorta. We present a rare case of post-MBP right coronary artery button pseudoaneurysm in a 30-year-old man. The contained leak, attributed to a pseudoknot in the polypropylene suture, was visualized via computed tomography angiography and transesophageal echocardiogram and repaired under deep hypothermic circulatory arrest.
冠状动脉纽扣状吻合是改良Bentall手术（MBP）修复主动脉根部和升主动脉的薄弱环节。我们报告了一例30岁男性在MBP术后发生右冠状动脉纽扣状假性动脉瘤的罕见病例。通过计算机断层扫描血管造影和经食管超声心动图发现，渗漏是由聚丙烯缝线中的假结引起的，并在深低温停循环下进行了修复。
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