原位心脏移植术后复发性主动脉夹层。

Recurrent aortic dissection after orthotopic heart transplantation.

作者信息

Mullen J C, Lemermeyer G, Bentley M J

机构信息

Division of Cardiothoracic Surgery, University of Alberta, Edmonton, Canada.

出版信息

Ann Thorac Surg. 1996 Dec;62(6):1830-1. doi: 10.1016/s0003-4975(96)00615-7.

DOI:10.1016/s0003-4975(96)00615-7

PMID:8957395

Abstract

A patient with Marfan's syndrome and previous Bentall repair for aortic dissection required orthotopic cardiac transplantation for end-stage cardiomyopathy. Postoperatively he suffered recurrent aortic dissection involving the transverse and descending aorta leading to tracheal and esophageal compression. He underwent successful surgical replacement of his ascending aorta, transverse arch, and descending aorta.

摘要

一名患有马凡氏综合征且曾因主动脉夹层接受Bentall修复术的患者，因终末期心肌病需要进行原位心脏移植。术后，他再次发生主动脉夹层，累及主动脉弓横部和降主动脉，导致气管和食管受压。他成功接受了升主动脉、主动脉弓横部和降主动脉的手术置换。