Nakamura T, Shimamoto M, Yamazaki F, Yoshimura T, Ueno T, Shinozaki T
Division of Cardiovascular Surgery, Shizuoka City Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Jun;43(6):870-4.
A 59-year-old woman with Behçet's disease was admitted because of hemoptysis. She had undergone resection and patch closure of a thoracic descending aortic aneurysm 6 years before this current admission. The aortography after the first operation had shown a pseudoaneurysm at the operative site. In the current operation, we performed thromboexclusion with a temporary occlusion balloon in the distal thoracic descending aorta above Adamkiewicz. The post operative course was uneventful. Postoperative angiography demonstrated exclusion of the pseudoaneurysm and the patient was discharged without recurrent hemoptysis.
一名59岁的白塞病女性因咯血入院。她在本次入院前6年曾接受胸降主动脉瘤切除术及补片修补术。首次手术后的主动脉造影显示手术部位有假性动脉瘤。在本次手术中,我们在Adamkiewicz上方的胸降主动脉远端用临时闭塞球囊进行了血栓排除术。术后过程顺利。术后血管造影显示假性动脉瘤已被排除,患者出院时未再咯血。