在修改后的Bentall程序后,右冠状动脉按伪动脉瘤
Kaitlin A Nguyen1, Suresh Keshavamurthy2, Jeongae Yoon3
1Department of Surgery, Division of Cardiovascular Surgery, Temple University Hospital, Philadelphia, USA.
Cureus
|July 10, 2023
概括
在修改本塔尔手术 (MBP) 后发生了一种罕见的伪动脉瘤,原因是结. 这种涉及冠状动脉按的并发症通过使用深度低温循环停止成功修复.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 修改的本塔尔手术 (MBP) 是一项复杂的手术,用于大动脉根和上升大动脉修复.
- 冠状动脉按解是冠状动脉按的关键和脆弱方面.
- 伪动脉瘤是大动脉根手术后的罕见但严重的并发症.
研究的目的:
- 在MBP后报告一种罕见的右冠状动脉按伪动脉瘤病例.
- 为了突出冠状动脉瘤中接相关并发症的潜在原因.
- 描述这一术后并发症的成功管理.
主要方法:
- 一个30岁的男性患者的病例介绍,他患有伪动脉瘤.
- 诊断成像包括计算机断层扫描血管造影 (CTA) 和输食管回声心电图 (TEE).
- 手术修复是在深度低温循环停止下进行的.
主要成果:
- 在MBP后发现了右冠状动脉按伪动脉瘤.
- 聚烯合物的伪结被确定为封闭泄漏的原因.
- 伪动脉瘤成功修复,没有报告的并发症.
结论:
- 冠状动脉按解仍然是MBP后并发症的潜在地点.
- 合完整性和合技术对于预防罕见事件,如伪动脉瘤至关重要.
- 及时诊断和手术干预,包括深度低温循环停止,对于管理这种并发症是有效的.
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