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.
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.
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。
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