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1例因DeBakey I型急性主动脉夹层行升主动脉及全主动脉弓移植置换术后截瘫病例

[A case of paraplegia after graft replacement of the ascending aorta and the total aortic arch for the DeBakey type I acute aortic dissection].

作者信息

Sakurada T, Kikuchi Y, Nakashima S, Koushima R, Kondo N, Kusajima K

机构信息

Department of Cardiovascular Surgery, National Obihiro Hospital, Japan.

出版信息

Kyobu Geka. 1997 Nov;50(12):1041-4.

PMID:9388352
Abstract

A rare case of paraplegia after an emergency operation for DeBakey type I acute aortic dissection was reported. The patient was a 52-year-old female who complained of severe chest and back pain. She underwent graft replacement of the ascending aorta and the total aortic arch. No neurological symptoms were observed before the operation. The cause of the paraplegia was assumed to be a thrombotic occlusion of costal arteries which originated from the false lumen.

摘要

报道了一例DeBakey I型急性主动脉夹层急诊手术后发生截瘫的罕见病例。患者为一名52岁女性,主诉严重的胸痛和背痛。她接受了升主动脉和全主动脉弓的人工血管置换术。术前未观察到神经症状。截瘫的原因被认为是起源于假腔的肋间动脉血栓形成闭塞。

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