Yagyu K, Saitoh H, Ninomiya M, Furuse A
Department of Cardiothoracic Surgery, University of Tokyo School of Medicine, Japan.
Eur J Cardiothorac Surg. 1997 Aug;12(2):315-8. doi: 10.1016/s1010-7940(97)00079-1.
A four-channeled aortic dissection is quite rare, which is a highly life-threatening situation predisposing to aortic rupture. We report a successful management of a four-channeled aortic dissection and an aortic rupture in a 59-year-old woman with Marfan's syndrome 11 years after an initial Bentall procedure for DeBakey type I dissection. The total arch and the descending thoracic aorta were replaced under deep hypothermia and circulatory arrest.
四通道主动脉夹层极为罕见，这是一种极易导致主动脉破裂的高度危及生命的情况。我们报告了一例对一名患有马凡综合征的59岁女性成功治疗四通道主动脉夹层并伴有主动脉破裂的病例，该患者在初次接受Bentall手术治疗I型DeBakey夹层11年后发病。在深低温停循环下进行了全主动脉弓及降主动脉置换。
