Fujiwara K, Naito Y, Komai H, Noguchi Y, Nishioka T, Iwasaki Y
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Japan.
Surg Today. 1998;28(10):1108-11. doi: 10.1007/BF02483975.
Triple-barreled aortic dissection is a rare form of aortic dissection associated with high mortality. We report herein the case of a 41-year-old woman with Marfan's syndrome who developed acute triple-barreled aortic dissection from a Stanford type B dissecting aneurysm. Successful graft replacement of the proximal third of the descending thoracic aorta was subsequently performed. To the best of our knowledge, this is the first case of successful operative treatment for an acute triple-barreled aortic dissection ever to be reported.
三腔主动脉夹层是一种罕见的主动脉夹层形式，死亡率很高。我们在此报告一例患有马凡综合征的41岁女性，她由斯坦福B型夹层动脉瘤发展为急性三腔主动脉夹层。随后成功进行了胸降主动脉近端三分之一的人工血管置换术。据我们所知，这是首例急性三腔主动脉夹层成功手术治疗的病例报告。
