Carrel T, Maurer M, Tkebuchava T, Niederhäuser U, Schneider J, Turina M I
Clinic for Cardiovascular Surgery, University Hospital, Zürich, Switzerland.
Ann Thorac Surg. 1995 Oct;60(4):1118-20. doi: 10.1016/0003-4975(95)97585-b.
A 72-year-old patient was operated on because of an acute type A aortic dissection with the primary entry located in the aortic arch and with retrograde involvement of the ascending aorta. Complete replacement of the aortic arch and the ascending aorta was performed after the dissected aortic layers had been readapted and sealed with gelatin-resorcin-formaldehyde biologic glue. Postoperative neurologic status was judged to be normal. The patient died 3 weeks postoperatively of septic shock. Postmortem examination of the brain revealed several small lesions, and microscopy showed very small particles of polymerized glue in the afferent vessels of ischemic cerebral and meningeal regions.
一名72岁患者因急性A型主动脉夹层接受手术，原发破口位于主动脉弓，升主动脉逆行受累。在用明胶-间苯二酚-甲醛生物胶对剥离的主动脉层进行重新贴合和封闭后，进行了主动脉弓和升主动脉的完全置换。术后神经状态判断为正常。患者术后3周死于感染性休克。脑部尸检发现多个小病灶，显微镜检查显示在缺血性脑和脑膜区域的传入血管中有非常小的聚合胶颗粒。
