冠状动脉搭桥术后出现的伴有局灶性夹层的升主动脉大假性动脉瘤。

Large Ascending Aortic Pseudoaneurysm with Focal Dissection after Coronary Artery Bypass Surgery.

作者信息

Anderson Devon, Xue Anna, Wong Samantha, Kiaii Bob, Catrip-Torres Jorge

机构信息

Department of Surgery, University of California Davis Medical Center, Sacramento, California, United States.

Division of Cardiothoracic Surgery, Department of Surgery, University of California Davis Medical Center, Sacramento, California, United States.

出版信息

Thorac Cardiovasc Surg Rep. 2023 Nov 10;12(1):e60-e62. doi: 10.1055/a-2192-5909. eCollection 2023 Jan.

DOI:10.1055/a-2192-5909

PMID:37954493

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10637853/

Abstract

There are many known complications that occur after surgical revascularization for patients with significant left main coronary artery disease. This case report highlights the preoperative workup, surgical approach, and postoperative management of a patient who presents with an aortic pseudoaneurysm and dissection 2 years after the index CABG. The development of an aortic pseudoaneurysm in combination with an ascending aortic dissection after prior coronary artery bypass grafting (CABG) is a rare compilation of complications that has scarcely been reported in the literature.

摘要

对于患有严重左主干冠状动脉疾病的患者，外科血管重建术后会出现许多已知的并发症。本病例报告重点介绍了一名患者在首次冠状动脉旁路移植术（CABG）两年后出现主动脉假性动脉瘤和夹层的术前检查、手术方法及术后管理。既往冠状动脉旁路移植术（CABG）后发生主动脉假性动脉瘤合并升主动脉夹层是一种罕见的并发症组合，在文献中鲜有报道。