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迪厄拉富瓦病损：成人主动脉弓中断修复术后胃肠道出血的罕见原因。

Dieulafoy's Lesion: A Rare Cause of Gastrointestinal Bleeding after Interrupted Aortic Arch Repair in an Adult.

作者信息

Tennyson Charlene, Adigun Abiodun, Ghosh Jonathan, Kadir Isaac, Dimarakis Ioannis

机构信息

Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, United Kingdom.

Department of Vascular Surgery, Manchester Royal Infirmary, Manchester, United Kingdom.

出版信息

Aorta (Stamford). 2024 Apr;12(2):41-43. doi: 10.1055/s-0044-1801294. Epub 2024 Dec 24.

DOI:10.1055/s-0044-1801294
PMID:39719154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11688146/
Abstract

Survival into adulthood in patients with an interrupted aortic arch (IAA) is exceedingly rare. A recent literature review found 25 reported cases of IAA in adults. We describe the first case of prolonged, occult, postoperative gastrointestinal bleeding as a major complication following IAA surgery. We discuss the management of a 51-year-old man who underwent repair of an IAA, aortic valve replacement, and replacement of the ascending aorta for a known aortic aneurysm.

摘要

主动脉弓中断（IAA）患者存活至成年极为罕见。最近的一项文献综述发现有25例成人IAA的报道病例。我们描述了首例IAA手术后出现的长期隐匿性胃肠道出血这一主要并发症。我们讨论了一名51岁男性患者的治疗情况，该患者接受了IAA修复、主动脉瓣置换以及因已知主动脉瘤而进行的升主动脉置换手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/1c5f3d7e55d4/10-1055-s-0044-1801294-i230005-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/e355bc91bff1/10-1055-s-0044-1801294-i230005-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/4d5672abc2d7/10-1055-s-0044-1801294-i230005-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/1c5f3d7e55d4/10-1055-s-0044-1801294-i230005-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/e355bc91bff1/10-1055-s-0044-1801294-i230005-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/4d5672abc2d7/10-1055-s-0044-1801294-i230005-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8514/11688146/1c5f3d7e55d4/10-1055-s-0044-1801294-i230005-3.jpg

相似文献

1
Dieulafoy's Lesion: A Rare Cause of Gastrointestinal Bleeding after Interrupted Aortic Arch Repair in an Adult.迪厄拉富瓦病损：成人主动脉弓中断修复术后胃肠道出血的罕见原因。
Aorta (Stamford). 2024 Apr;12(2):41-43. doi: 10.1055/s-0044-1801294. Epub 2024 Dec 24.
2
Undiagnosed interrupted aortic arch in a 59-year-old male patient with severe aortic valve stenosis: A case report and literature review.一名59岁重度主动脉瓣狭窄男性患者的未确诊主动脉弓中断：病例报告及文献综述
ARYA Atheroscler. 2014 Jul;10(4):230-2.
3
Rectal Dieulafoy's Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage.直肠杜氏病损：下消化道出血的罕见病因
Case Rep Gastroenterol. 2019 Feb 14;13(1):73-77. doi: 10.1159/000497139. eCollection 2019 Jan-Apr.
4
Rare case series of adult interrupted aortic arch.成人主动脉弓中断的罕见病例系列
J Cardiol Cases. 2023 Jul 29;28(5):206-209. doi: 10.1016/j.jccase.2023.07.004. eCollection 2023 Nov.
5
Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report.伤寒溃疡导致一名7岁儿童回肠迪厄拉富瓦病损处出现危及生命的出血：病例报告
J Med Case Rep. 2010 Jun 3;4:171. doi: 10.1186/1752-1947-4-171.
6
Upper gastrointestinal bleeding due to Dieulafoy's lesion of the stomach: a rare case report.胃杜氏病所致上消化道出血：一例罕见病例报告
EXCLI J. 2023 Aug 17;22:862-866. doi: 10.17179/excli2023-6407. eCollection 2023.
7
Severe lower gastrointestinal bleeding caused by rectal Dieulafoy's lesion: Case reports and literature review.直肠 Dieulafoy 病变导致的严重下消化道出血：病例报告及文献复习。
Medicine (Baltimore). 2022 Dec 2;101(48):e32031. doi: 10.1097/MD.0000000000032031.
8
[Short and midterm results of surgical treatment of interrupted aortic arch].[主动脉弓中断手术治疗的短期和中期结果]
Zhonghua Wai Ke Za Zhi. 2018 Dec 1;56(12):916-921. doi: 10.3760/cma.j.issn.0529-5815.2018.12.008.
9
Case report: Dieulafoy's lesion as a rare cause of massive gastrointestinal hemorrhage.病例报告：Dieulafoy病变作为大量胃肠道出血的罕见原因。
Int J Surg Case Rep. 2025 Jan;126:110810. doi: 10.1016/j.ijscr.2024.110810. Epub 2024 Dec 30.
10
Dieulafoy's lesion in the cecum: A rare case report presentation.盲肠迪厄拉富瓦病：一例罕见病例报告
Int J Surg Case Rep. 2021 Jul;84:106157. doi: 10.1016/j.ijscr.2021.106157. Epub 2021 Jun 30.

本文引用的文献

1
Is surgery necessary for adults with isolated interrupted aortic arch?: Case series with literature review.成人孤立性主动脉弓中断是否需要手术？：病例系列并文献复习。
J Card Surg. 2021 Jul;36(7):2467-2475. doi: 10.1111/jocs.15525. Epub 2021 Apr 12.
2
Heyde Syndrome Complicated by a Dieulafoy Lesion.海德综合征合并迪厄拉富瓦病损
Ochsner J. 2020 Fall;20(3):326-330. doi: 10.31486/toj.19.0072.
3
Mid- to long-term aortic valve-related outcomes after conventional repair for patients with interrupted aortic arch or coarctation of the aorta, combined with ventricular septal defect: the impact of bicuspid aortic valve†.
主动脉弓中断或主动脉缩窄合并室间隔缺损患者接受传统修复术后的中长期主动脉瓣相关结局：二叶式主动脉瓣的影响†
Eur J Cardiothorac Surg. 2014 Dec;46(6):952-60; discussion 960. doi: 10.1093/ejcts/ezu078. Epub 2014 Mar 9.
4
ICCE consensus for obscure gastrointestinal bleeding.隐匿性胃肠道出血的国际临床内镜学会（ICCE）共识
Endoscopy. 2005 Oct;37(10):1046-50. doi: 10.1055/s-2005-870319.
5
Isolated atresia of the aortic arch in a 65-year-old man. Surgical treatment and review of published reports.一名65岁男性的孤立性主动脉弓闭锁。手术治疗及已发表报告综述。
Br Heart J. 1982 Mar;47(3):294-7. doi: 10.1136/hrt.47.3.294.