胸主动脉腔内修复术后六年发生的伴有脑灌注不良的逆行性A型急性主动脉夹层。
Retrograde Type A Acute Aortic Dissection With Cerebral Malperfusion Six Years After Thoracic Endovascular Aortic Repair.
作者信息
Sasaki Hideki, Numata Yukihide, Kamiya Shinji, Sone Yoshiaki, Asano Miki
机构信息
Department of Cardiovascular Surgery, Nagoya City University East Medical Center, Nagoya City, Aichi, Japan.
出版信息
J Saudi Heart Assoc. 2024 Jan 13;35(4):363-366. doi: 10.37616/2212-5043.1363. eCollection 2023.
Abstract
A 59-year-old male with prior thoracic endovascular aortic repair presented with altered mental status. Magnetic resonance imaging showed cerebral infarction, and subsequent computed tomography revealed acute type A aortic dissection and right carotid artery occlusion. He underwent total arch replacement with right carotid artery bypass. After successful intervention, he was transferred to a rehabilitation facility for further improvement.
摘要
一名曾接受胸主动脉腔内修复术的59岁男性出现精神状态改变。磁共振成像显示脑梗死，随后的计算机断层扫描显示急性A型主动脉夹层和右颈动脉闭塞。他接受了全弓置换术并进行了右颈动脉旁路移植。成功干预后，他被转至康复机构以进一步改善病情。
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