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使用房间隔缺损封堵器闭合冠状动脉旁路移植术后升主动脉假性动脉瘤。

Use of an atrial septal defect occluder for the closure of an ascending aorta pseudoaneurysm after coronary artery bypass grafting.

作者信息

Kara İbrahim, Toptan Fatih, Salihi Salih, Ağaç Mustafa Tarık, Yazıcı Yunus Emre

机构信息

Department of Cardiovascular Surgery, Sakarya University Faculty of Medicine, Sakarya, Adapazarı, Türkiye.

Department of Anesthesia and Reanimation, Sakarya Training and Research Hospital, Sakarya, Adapazarı, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2025 Jul 21;33(3):397-400. doi: 10.5606/tgkdc.dergisi.2025.25878. eCollection 2025 Jul.

DOI:10.5606/tgkdc.dergisi.2025.25878
PMID:40936997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12421551/
Abstract

An aortic pseudoaneurysm is a rare, but serious condition which can result in life-threatening complications. It is usually caused by previous cardiac surgery, trauma, or infection. Due to the high likelihood of rupture with primary surgical intervention, endovascular closure may be performed as the standard of care in eligible cases. In this article, we present a case of a huge aortic pseudoaneurysm with a wide neck which could safely be closed using an atrial septal occluder.

摘要

主动脉假性动脉瘤是一种罕见但严重的病症，可导致危及生命的并发症。它通常由既往心脏手术、创伤或感染引起。由于初次手术干预时破裂的可能性很高，对于符合条件的病例，血管内封堵术可能作为标准治疗方法来施行。在本文中，我们报告了一例具有宽颈的巨大主动脉假性动脉瘤病例，该病例使用房间隔封堵器可安全地实现封堵。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecb/12421551/4be5e0466f01/TJTCS-2025-33-3-397-400-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecb/12421551/e207c9b4689a/TJTCS-2025-33-3-397-400-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecb/12421551/4be5e0466f01/TJTCS-2025-33-3-397-400-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecb/12421551/e207c9b4689a/TJTCS-2025-33-3-397-400-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecb/12421551/4be5e0466f01/TJTCS-2025-33-3-397-400-F2.jpg

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本文引用的文献

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Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report.升主动脉进行性假性动脉瘤的微创封堵：一例报告。
Front Cardiovasc Med. 2023 Mar 17;10:1134196. doi: 10.3389/fcvm.2023.1134196. eCollection 2023.
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Percutaneous closure of an uncommon aortic pseudoaneurysm after arterial switch repair: a case report.动脉调转术修复术后经皮封堵罕见主动脉假性动脉瘤：一例报告
Eur Heart J Case Rep. 2019 Nov 13;3(4):1-4. doi: 10.1093/ehjcr/ytz178. eCollection 2019 Dec.
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Systematic review of interventions to repair ascending aortic pseudoaneurysms.
升主动脉假性动脉瘤修复干预措施的系统评价
Ochsner J. 2014 Winter;14(4):576-85.
4
One size does not fit all: case report of two percutaneous closures of aortic pseudoaneurysm and review of the literature.并非一概而论：两例经皮封堵主动脉假性动脉瘤的病例报告及文献综述
Cardiovasc Revasc Med. 2014 Apr;15(3):160-4. doi: 10.1016/j.carrev.2014.02.007. Epub 2014 Mar 2.
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Device occlusion of pseudoaneurysm of ascending aorta.升主动脉假性动脉瘤的器械封堵
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Percutaneous closure of ascending aortic pseudoaneurysm using Amplatzer septal occluder device: the first clinical case report and literature review.使用Amplatzer房间隔封堵器经皮闭合升主动脉假性动脉瘤：首例临床病例报告及文献综述
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