Adachi H, Ino T, Ide H, Mizuhara A, Kobayashi Y, Nagai J
Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Aug;41(8):1405-9.
A sixty-year-old woman with the thoracoabdominal aortic aneurysm (7 cm in the diameter) was evaluated by the newly developed three-dimensional CT angiography. The thoracoabdominal aortic aneurysm was scanned by spiral CT and three-dimensional images were generated preoperatively. The three-dimensional structures of the thoracoabdominal aorta with the aneurysm, the celiac trunk and the superior mesenteric artery were clearly visualized by this method. The thoracoabdominal aorta was replaced by the graft with the reconstruction of celiac trunk. The post-operative course was uneventful. The preoperative diagnosis of thoracoabdominal aortic aneurysm by this method was very useful in the determination of operative procedure in this case. Three-dimensional CT angiography may be the useful method in the preoperative diagnosis of the aortic surgery.
一名患有胸腹主动脉瘤（直径7厘米）的60岁女性接受了新开发的三维CT血管造影评估。通过螺旋CT对胸腹主动脉瘤进行扫描，并在术前生成三维图像。用这种方法可以清晰地看到带有动脉瘤的胸腹主动脉、腹腔干和肠系膜上动脉的三维结构。用移植物替换胸腹主动脉并重建腹腔干。术后过程顺利。通过这种方法对胸腹主动脉瘤进行术前诊断，对该病例手术方案的确定非常有用。三维CT血管造影可能是主动脉手术术前诊断的有用方法。
