创伤性胸主动脉覆膜支架移位及夹层动脉瘤破裂
Trauma-Induced Thoracic Stent Graft Migration and Dissecting Aneurysm Rupture.
作者信息
Jingami Naoto, Yunoki Tomoyuki, Tazaki Junichi, Minami Takuma, Furutake Tatsuya, Shimoto Manabu, Sakamoto Kazuhisa, Kimura Takeshi, Ohtsuru Shigeru
机构信息
Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
出版信息
Ann Thorac Surg Short Rep. 2024 Jan 5;2(2):223-225. doi: 10.1016/j.atssr.2023.12.008. eCollection 2024 Jun.
Thoracic endovascular aortic repair (TEVAR) is widespread. We report a case of graft migration and dissecting aneurysm rupture after trauma. An 82-year-old man with a history of TEVARs for chronic type B aortic dissection had sudden dyspnea and hemoptysis after falling from a stationary bicycle. Enhanced computed tomography revealed graft migration, endoleak, and dissecting aneurysm rupture. TEVAR was repeated emergently, and he was discharged without complications. Blunt injury to the trunk of the body may cause graft migration and aortic rupture in the chronic phase after TEVAR. This report describes graft migration and rupture induced by trauma.
胸主动脉腔内修复术（TEVAR）应用广泛。我们报告一例创伤后移植物移位及夹层动脉瘤破裂的病例。一名82岁男性，有因慢性B型主动脉夹层行TEVAR的病史，在从静止的自行车上跌落之后突然出现呼吸困难和咯血。增强计算机断层扫描显示移植物移位、内漏及夹层动脉瘤破裂。紧急再次行TEVAR，患者出院时无并发症。身体躯干钝性损伤可能在TEVAR后的慢性期导致移植物移位和主动脉破裂。本报告描述了由创伤引起的移植物移位和破裂。
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