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一名合并隐匿性食管破裂的创伤患者主动脉夹层的延迟修复

Delayed Repair of Aortic Dissection in a Trauma Patient With Occult Esophageal Rupture.

作者信息

Liu Chang, Song Yi, Yuan Ye, Chen Jianming, Hu Yijie

机构信息

Department of Cardiovascular Surgery, Daping Hospital, Army Medical University, Chongqing, China.

出版信息

Ann Thorac Surg Short Rep. 2023 Mar 8;1(2):259-262. doi: 10.1016/j.atssr.2023.02.021. eCollection 2023 Jun.

Abstract

Aortic dissection and esophageal rupture are life-threatening conditions in trauma patients. The combination complicates treatment. Here, we report a case of traumatic aortic dissection with occult esophageal rupture that was treated successfully with a staged operative strategy: primary esophageal repair followed by delayed aortic arch and aortic valve repair.

摘要

主动脉夹层和食管破裂是创伤患者的危及生命的情况。两者并存会使治疗变得复杂。在此,我们报告一例创伤性主动脉夹层合并隐匿性食管破裂的病例,该病例采用分期手术策略成功治疗:先行食管一期修复,随后延迟进行主动脉弓和主动脉瓣修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43c0/11708684/3e9235afdc9b/gr1.jpg

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