Murai N, Kaneko T, Obayashi T, Aizaki M, Ichikawa H
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
Kyobu Geka. 1997 Feb;50(2):146-9.
Aortic dissection usually result in chest pain and back pain. This patient is a 58 year-old man who received aortic valve replacement for aortic regurgitation 10 years ago. In this case, the patient had superior vena cava syndrome as a result of a painless aortic dissection. The superior vena cava was compressed by the ascending aorta itself, which had become very large but had not ruptured into the mediastinum. He underwent modified Carbrol's operation under hypothermic cardiopulmonary bypass and circulation arrest on May 8, 1995. Dissecting aneurysm in the late term after aortic valve replacement is rare, and for it to result in superior vena cava syndrome is especially rare.
主动脉夹层通常会导致胸痛和背痛。该患者为一名58岁男性，10年前因主动脉瓣反流接受了主动脉瓣置换术。在本病例中，患者因无痛性主动脉夹层出现了上腔静脉综合征。上腔静脉被自身已变得非常粗大但未破入纵隔的升主动脉压迫。1995年5月8日，他在低温体外循环和循环阻断下接受了改良的卡罗尔手术。主动脉瓣置换术后晚期发生夹层动脉瘤罕见，而由此导致上腔静脉综合征则尤为罕见。
