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升主动脉假性动脉瘤表现为急性心肌梗死:主动脉冠状动脉旁路移植术的晚期并发症

False aneurysm of the ascending aorta presenting as an acute myocardial infarction: a late complication of aortocoronary bypass.

作者信息

Morissette M, Lemire J, Poirier N, Bettez P

出版信息

Chest. 1981 May;79(5):591-2. doi: 10.1378/chest.79.5.591.

DOI:10.1378/chest.79.5.591
PMID:6971737
Abstract

After coronary bypass surgery, a 40-year-old man developed disruption of the site of cannulation of the ascending aorta. The false aneurysm which ensued presented as recurrent episodes of spontaneous angina and myocardial infarction ending in coronary death 48 days after surgery. the aortic origin of all three permeable coronary bypasses were strangulated by the hematoma. Awareness of this unusual potential hazard is essential, since an early suspicion would lead to proper diagnostic interventions and reoperation.

摘要

一名40岁男性在冠状动脉搭桥手术后,出现升主动脉插管部位破裂。随后形成的假性动脉瘤表现为反复自发性心绞痛和心肌梗死发作,最终在术后48天因冠状动脉疾病死亡。三条通畅的冠状动脉搭桥的主动脉起源均被血肿压迫。认识到这种不寻常的潜在危险至关重要,因为早期怀疑将有助于进行适当的诊断干预和再次手术。

相似文献

1
False aneurysm of the ascending aorta presenting as an acute myocardial infarction: a late complication of aortocoronary bypass.升主动脉假性动脉瘤表现为急性心肌梗死:主动脉冠状动脉旁路移植术的晚期并发症
Chest. 1981 May;79(5):591-2. doi: 10.1378/chest.79.5.591.
2
[Surgical treatment of Prinzmetal's angina pectoris by plexectomy associated with aortocoronary bypass. Apropos of 56 cases].[采用神经丛切除术联合主动脉冠状动脉搭桥术治疗变异型心绞痛。附56例报告]
Arch Mal Coeur Vaiss. 1982 May;75(5):575-82.
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False aneurysm of ascending aorta after aortocoronary bypass grafting.
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Arch Mal Coeur Vaiss. 1985 Mar;78(3):420-5.
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[Effect of perioperative myocardial infarction on late results of the aortocoronary bypass].
Khirurgiia (Mosk). 1991 Jun(6):95-8.
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[Reoperation for aortocoronary bypass].
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[False aneurysm of the ascending thoracic aorta after cardiac surgery: one case (author's transl)].心脏手术后升胸主动脉假性动脉瘤:1例(作者译)
Poumon Coeur. 1980;36(6):389-91.
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引用本文的文献

1
Non-mycotic pseudoaneurysm in the ascending aorta following cardiac surgery.心脏手术后升主动脉非霉菌性假性动脉瘤
Jpn J Thorac Cardiovasc Surg. 1999 Jun;47(6):295-7. doi: 10.1007/BF03218015.
2
Dehiscence of infected aortocoronary vein graft suture lines. Cause of late pseudoaneurysm of ascending aorta.感染性主动脉冠状动脉静脉移植物缝合线裂开。升主动脉晚期假性动脉瘤的病因。
Br Heart J. 1983 Aug;50(2):193-5. doi: 10.1136/hrt.50.2.193.