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升主动脉移植物延迟脱离,酷似假性动脉瘤和夹层:一例报告。

Late detachment of ascending aortic graft mimicking pseudoaneurysm and dissection: A case report.

作者信息

Fabrizio Renato, Mascitti Laura, Boemi Sara, Pasi Sara, Giavarini Matteo, Conca Martina

机构信息

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.

出版信息

Radiol Case Rep. 2023 Aug 17;18(10):3764-3768. doi: 10.1016/j.radcr.2023.07.067. eCollection 2023 Oct.

Abstract

Ascending aorta aneurysm is a pathological dilatation of the aortic wall which needs in most cases surgical treatment. Complications after surgery are usually rare events and include infections, bleeding, and pseudoaneurysm. We present a report of a late complication after ascending aorta aneurysm repair consisting of a prosthetic detachment and dislocation miming a pseudoaneurysm of the aortic root associated with an aortic dissection. This case was radiologically challenging due to the atypical CT aspect and therefore it required a deep radiological, clinical, and surgical analysis with a multidisciplinary approach.

摘要

升主动脉瘤是主动脉壁的病理性扩张,在大多数情况下需要手术治疗。手术后的并发症通常很少见,包括感染、出血和假性动脉瘤。我们报告一例升主动脉瘤修复术后的晚期并发症,表现为假体分离和脱位,类似主动脉根部假性动脉瘤并伴有主动脉夹层。由于CT表现不典型,该病例在放射学诊断上具有挑战性,因此需要采用多学科方法进行深入的放射学、临床和手术分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a1/10462785/b98411f1f283/gr1.jpg

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