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心脏移植术后胸主动脉瘤修复的罕见病例。

A rare case of Thoracic Aortic Aneurysm repair post Heart Transplantation.

作者信息

Bernardi Helena Garcia Betinardi, Romero Cristhian Espinoza, Faria Vanessa Simioni, Marcondes-Braga Fabiana G, Gaiotto Fabio A, Bacal Fernando

机构信息

Heart Institute (InCor), Instituto do Coração, Hospital das Clínicas, HCFMUSP, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

JHLT Open. 2024 Nov 27;7:100183. doi: 10.1016/j.jhlto.2024.100183. eCollection 2025 Feb.

DOI:10.1016/j.jhlto.2024.100183
PMID:40144835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11935342/
Abstract

During bicaval orthotopic heart transplant (HT), two segments of the aorta are generated, separated by a suture line. Both segments are exposed to the same systemic environment. Nevertheless, it has been observed that aneurysmal disease is confined to one of the segments of aorta. We report here a successful repair of AA, confined to the donor portion of aorta, in a HT recipient after 12 years of transplant.

摘要

在双腔原位心脏移植（HT）过程中，会形成两段主动脉，由一条缝线分隔。两段主动脉都暴露于相同的全身环境中。然而，据观察，动脉瘤疾病仅局限于其中一段主动脉。我们在此报告一例心脏移植受者在移植12年后成功修复局限于供体主动脉部分的主动脉瘤（AA）的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c6/11935342/c3d70e952158/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c6/11935342/af6b0db40e0a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c6/11935342/c3d70e952158/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c6/11935342/af6b0db40e0a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c6/11935342/c3d70e952158/gr2.jpg

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本文引用的文献

1
Ascending Aneurysms in Heart Transplant Patients: A Rare Opportunity to Assess Heredity Versus Biological Environment.心脏移植患者的升主动脉瘤：评估遗传因素与生物环境的难得契机。
JACC Case Rep. 2021 Nov 3;3(15):1685-1689. doi: 10.1016/j.jaccas.2021.07.010.
2
Pseudoaneurysm of the ascending aorta: case report of a donor-derived Pseudomonas infection in a heart transplant recipient.升主动脉假性动脉瘤：心脏移植受者供体来源铜绿假单胞菌感染病例报告。
BMC Infect Dis. 2021 Aug 21;21(1):847. doi: 10.1186/s12879-021-06557-y.
3
Rapid Development of De Novo Thoracic Aneurysm After Liver Transplant.
肝移植后新发胸主动脉瘤迅速发展。
Exp Clin Transplant. 2021 Feb;19(2):167-169. doi: 10.6002/ect.2017.0070. Epub 2017 Oct 31.
4
Repair of ascending aortic aneurysms following cardiac transplantation.心脏移植术后升主动脉瘤的修复
J Card Surg. 2016 Dec;31(12):778-780. doi: 10.1111/jocs.12865. Epub 2016 Nov 1.
5
Successful treatment of aortic root aneurysm after orthotopic heart transplantation: case report.原位心脏移植术后主动脉根部瘤的成功治疗：病例报告
Transplant Proc. 2008 Oct;40(8):2852-3. doi: 10.1016/j.transproceed.2008.08.054.
6
The prevalence and natural history of aortic aneurysms in heart and abdominal organ transplant patients.心脏和腹部器官移植患者主动脉瘤的患病率及自然病史。
J Vasc Surg. 2003 Jan;37(1):27-31. doi: 10.1067/mva.2003.57.
7
The spectrum of aortic complications after heart transplantation.心脏移植术后主动脉并发症的范围
Ann Thorac Surg. 1999 Jul;68(1):105-11. doi: 10.1016/s0003-4975(99)00471-3.