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产后早期腹主动脉夹层动脉瘤的开放修复术。

Open repair of a dissecting abdominal aortic aneurysm in the early postpartum period.

作者信息

Gage Daniel, Lastinger Lauren, Orion Kristine

机构信息

Department of General Surgery, The Ohio State University, Columbus, OH.

Division of Cardiovascular Medicine, Department of Internal Medicine, The Ohio State University, Columbus, OH.

出版信息

J Vasc Surg Cases Innov Tech. 2025 May 23;11(5):101858. doi: 10.1016/j.jvscit.2025.101858. eCollection 2025 Oct.

DOI:10.1016/j.jvscit.2025.101858
PMID:40677247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12269970/
Abstract

A 27-year-old female presented 7 days postpartum with severe back pain, which started shortly following delivery. She was discovered to have a 5.6-cm dissecting abdominal aortic aneurysm with an aneurysmal left common iliac artery measuring 3.6 cm and was taken emergently for open surgical repair. A bifurcated Dacron graft was placed with distal limbs to the right common iliac artery and left internal iliac artery. An additional jump graft was placed from the main body of the graft to the left external iliac artery. The patient's bypass remains patent 4 years from her operation, and she remains asymptomatic.

摘要

一名27岁女性产后7天出现严重背痛，分娩后不久即开始。她被发现患有一个5.6厘米的腹主动脉夹层动脉瘤，左侧髂总动脉瘤为3.6厘米，并紧急接受了开放手术修复。植入了一个分叉的涤纶移植物，远端分支至右髂总动脉和左髂内动脉。另外从移植物主体到左髂外动脉放置了一个搭桥移植物。患者术后4年旁路仍保持通畅，且无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/c456b57c9073/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/e33dbedf5760/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/b1824a40ddfd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/c456b57c9073/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/e33dbedf5760/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/b1824a40ddfd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/222d/12269970/c456b57c9073/gr3.jpg

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本文引用的文献

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Evidence on the need for early identification of asymptomatic true abdominal aortic aneurysm in pregnancy: A case report.关于孕期无症状真性腹主动脉瘤早期识别必要性的证据：一例病例报告。
SAGE Open Med Case Rep. 2023 Sep 21;11:2050313X231173789. doi: 10.1177/2050313X231173789. eCollection 2023.
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Pulmonary MRA During Pregnancy: Early Experience With Ferumoxytol.孕期肺部磁共振血管造影：使用铁羧麦芽糖的早期经验
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磁共振安全：妊娠与哺乳期。
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