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交通事故后升主动脉创伤性夹层并多发伤

Traumatic Dissection of the Ascending Aorta Complicated by Multiple Injuries Following a Traffic Accident.

作者信息

Shinoda Daigo, Miyoshi Kosuke, Yokoyama Nobu, Shiraishi Manabu

机构信息

Department of Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, JPN.

出版信息

Cureus. 2024 Nov 21;16(11):e74180. doi: 10.7759/cureus.74180. eCollection 2024 Nov.

DOI:10.7759/cureus.74180
PMID:39712787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663081/
Abstract

Trauma to the ascending aorta may progress to a cardiac tamponade, which is often life-threatening. Here, we report on a case of traumatic dissection of the ascending aorta, complicated by multiple injuries. A 24-hour follow-up period was provided to evaluate the traumatic bleeding, and a large tear that extended over three-quarters of the circumference of the aortic intima was identified. An ascending aorta and partial arch replacement were successfully performed. The timing of cardiopulmonary bypass surgery in cases of multiple traumas must be sufficiently flexible to accommodate the condition of each patient, considering the risk of sudden hemodynamic collapse.

摘要

升主动脉创伤可能进展为心脏压塞，这通常会危及生命。在此，我们报告一例升主动脉创伤性夹层并伴有多处损伤的病例。提供了24小时的随访期以评估创伤性出血，并发现了一个延伸至主动脉内膜周长四分之三以上的大裂口。成功实施了升主动脉和部分主动脉弓置换术。对于多发伤病例，体外循环手术的时机必须足够灵活，以适应每个患者的情况，同时要考虑到突然血流动力学崩溃的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2f/11663081/52b26fb2d57f/cureus-0016-00000074180-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2f/11663081/2834aba1d7d9/cureus-0016-00000074180-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2f/11663081/52b26fb2d57f/cureus-0016-00000074180-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2f/11663081/2834aba1d7d9/cureus-0016-00000074180-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2f/11663081/52b26fb2d57f/cureus-0016-00000074180-i02.jpg

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1
Traumatic Dissection of the Ascending Aorta Complicated by Multiple Injuries Following a Traffic Accident.交通事故后升主动脉创伤性夹层并多发伤
Cureus. 2024 Nov 21;16(11):e74180. doi: 10.7759/cureus.74180. eCollection 2024 Nov.
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本文引用的文献

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ARISE: First-In-Human Evaluation of a Novel Stent Graft to Treat Ascending Aortic Dissection.ARISE：一种用于治疗升主动脉夹层的新型覆膜支架的首次人体评估。
J Endovasc Ther. 2023 Aug;30(4):550-560. doi: 10.1177/15266028221095018. Epub 2022 May 19.
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