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上升大动脉伪动脉瘤的非典型表现和皮肤间修复:一个病例报告
Pablo E Tobías-Castillo1, Gerard Oristrell1,2, José Luis Reyes-Juárez3
1Cardiology Department, Vall d'Hebron University Hospital, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.
European heart journal. Case reports
|September 8, 2023
概括
上升性大动脉虚动脉瘤 (AAP) 是手术后的一种罕见并发症. 皮肤封闭为AAP选择的高风险患者提供了成功的治疗选择.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 血管医学 血管医学
背景情况:
- 上升性大动脉伪动脉瘤 (AAP) 是心脏或大动脉手术后不常见但严重的并发症.
- 这些动脉瘤带有高死亡和发病风险,建议的治疗方法是手术修复.
- 关于AAPs皮封闭的数据是有限的.
研究的目的:
- 为了呈现一个由大型手术后AAP引起的昏迷病例.
- 为了证明上升的大动脉伪动脉瘤的成功穿皮封闭.
- 突出高风险患者内血管修复的潜力.
主要方法:
- 一名66岁的男性患者有主动脉假体和上升主动脉移植病史,出现了昏迷.
- 计算机断层扫描血管造影 (CTA) 揭示了一个大型的AAP与一个焦点泄漏从大动脉移植.
- 患者在局部麻醉下通过6-法式辐射动脉方法成功地进行了AAP的皮肤封闭.
主要成果:
- 患者的昏迷被归因于AAP对右心室和上静脉的压缩.
- 来自达克龙管近接的焦点泄漏被确定为AAP形成的原因.
- 成功地实现了AAP的穿皮封闭,解决了患者的症状.
结论:
- 在患有心脏手术史出现昏迷的患者中,必须调查像AAP这样的大动脉并发症.
- CTA是诊断和表征术后AAPs的首选成像方式.
- 穿皮关闭对于具有合适解剖结构的高风险患者来说是一个可行的和有效的选择.
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