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升主动脉急性夹层合并主动脉缩窄的修复术。

Repair of acute dissection of the ascending aorta associated with aortic coarctation.

作者信息

Tesler U F, Tomasco B

机构信息

Division of Cardiovascular Surgery, Ospedale San Carlo, Potenza, Italy.

出版信息

Tex Heart Inst J. 1996;23(2):170-3.

PMID:8792549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325332/
Abstract

A 54-year-old man with coarctation of the thoracic aorta and acute dissection of the ascending aorta ruptured into the pericardium underwent emergency repair of the dissection by means of replacement of the ascending aorta and the aortic valve. Correction of the aortic coarctation was performed 4 months later. The authors examine the special problems encountered in the treatment of this infrequent clinical emergency, which include decisions on the optimal sequence and timing of repair, on the best surgical exposure, and on the technique and adequacy of circulatory support (especially the choice of the arterial cannulation site.

摘要

一名患有胸主动脉缩窄和升主动脉急性夹层破裂至心包的54岁男性接受了升主动脉和主动脉瓣置换术以紧急修复夹层。4个月后进行了主动脉缩窄矫正。作者探讨了在治疗这种罕见临床急症时遇到的特殊问题，包括关于修复的最佳顺序和时机、最佳手术暴露以及循环支持的技术和充分性（尤其是动脉插管部位的选择）的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/a2b07e50a85f/thij00029-0104-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/c9e65f9814d9/thij00029-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/f5d068589b9e/thij00029-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/d6cca21c8314/thij00029-0103-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/a2b07e50a85f/thij00029-0104-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/c9e65f9814d9/thij00029-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/f5d068589b9e/thij00029-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/d6cca21c8314/thij00029-0103-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ba/325332/a2b07e50a85f/thij00029-0104-a.jpg

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本文引用的文献

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Coarctation of the aorta with aneurysm.
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Management of acute aortic dissection associated with coarctation by a single operation.
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Repair of acute dissection of the ascending aorta, associated with coarctation of the thoracic aorta in a Jehovah's Witness.
J Cardiovasc Surg (Torino). 1980 May-Jun;21(3):374-8.
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Ann Thorac Surg. 1982 Aug;34(2):125-31. doi: 10.1016/s0003-4975(10)60872-7.
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Aortic dilation, dissection, and rupture in patients with Turner syndrome.特纳综合征患者的主动脉扩张、夹层形成和破裂。
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Acute type I aortic dissection with coarctation of the aorta: discussion of management and the report of a successful brain perfusion across an aortic coarctation.
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Dissection of an aneurysmal ascending aorta in association with coarctation of the aorta.升主动脉瘤合并主动脉缩窄的解剖
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8
Coarctation of the aorta in the adult.成人主动脉缩窄
Cardiovasc Clin. 1979;10(1):311-9.