三通道主动脉夹层

Three-channeled aortic dissection.

作者信息

Ishikawa S, Hasegawa T, Fuse K, Kato M, Kamisawa O, Morishita Y

机构信息

Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.

出版信息

Ann Thorac Surg. 1995 Dec;60(6):1816-8. doi: 10.1016/0003-4975(95)00628-1.

DOI:10.1016/0003-4975(95)00628-1

PMID:8787496

Abstract

A 68-year-old woman in whom a thoracic aortic dissection (DeBakey type III) had been followed up for 6 years was admitted to our hospital with a complaint of chest pain. A graft replacement of the descending thoracic aorta was performed. A communication between the second and third channels was detected intraoperatively. Nine cases of three-channeled aortic dissection whose third dissection existed within the outer wall of the second one were previously reported, and 4 of them had a communication between the two false channels.

摘要

一名68岁女性，胸主动脉夹层（DeBakey III型）已随访6年，因胸痛主诉入院。行降主动脉人工血管置换术。术中发现第二和第三通道之间存在交通。此前曾报道9例三通道主动脉夹层，其中第三层夹层位于第二层外壁内，其中4例两个假通道之间存在交通。