Sasaki Hideki, Sone Yoshiaki, Kamiya Shinji, Numata Yukihide, Hayakawa Syunta
Cardiovascular Surgery, Nagoya City University East Medical Center, Nagoya, JPN.
Cureus. 2023 Sep 4;15(9):e44629. doi: 10.7759/cureus.44629. eCollection 2023 Sep.
Herein, we present the case of an 89-year-old female who presented with acute aortic dissection involving the arch and abdominal aneurysms. Emergent total arch replacement with a frozen elephant trunk was the first-line approach taken to save the patient's life. Although prolonged mechanical ventilation necessitated a tracheostomy, subsequent endovascular aortic repair mitigated the risk of rupture in the abdominal aortic aneurysm. While managing acute aortic syndrome with multiple aneurysms poses a challenge for surgeons, a diagnosis based on computed tomography angiography and timely intervention alleviated the critical condition.
在此，我们报告一例89岁女性患者，其患有累及主动脉弓和腹主动脉瘤的急性主动脉夹层。采用带膜支架象鼻技术进行急诊全弓置换是挽救患者生命的一线治疗方法。尽管长时间机械通气需要进行气管切开术，但随后的腹主动脉瘤腔内修复术降低了腹主动脉瘤破裂的风险。虽然处理合并多个动脉瘤的急性主动脉综合征对外科医生来说是一项挑战，但基于计算机断层扫描血管造影的诊断和及时干预缓解了危急状况。
