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在胸内血管大动脉修复后进行A型大动脉剖析的部分门置换,用于B型剖析

Tomohiro Nakajima¹, Yutaka Iba², Keishi Ogura³

¹Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan. t.nakajima@sapmed.ac.jp.

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology

|October 6, 2023

概括

支架移植诱导的新入口 (SINE) 可以在胸内血管大动脉修复 (TEVAR) 经过多年后导致A型大动脉剖析. 长期监测对于检测晚期SINE并发症至关重要.

科学领域:

心血管外科心血管外科
血管内修复血管内修复
大动脉切割动脉切割

背景情况:

支架移植诱导的新入口 (SINE) 是胸内血管大动脉修复 (TEVAR) 后的一种已知的并发症.
在接受TEVAR用于斯坦福B型大动脉剖析的患者中,越来越多地观察到SINE.
这一案例突出显示了一种罕见的A型大动脉剖析,其结果是近端SINE.

研究的目的:

报告一个独特的斯坦福A型大动脉解剖病例.
为了说明TEVAR后晚发性SINE的可能性.
强调TEVAR后长期患者随访的重要性.

主要方法:

一名58岁的男性有B型主动脉解剖史,接受了TEVAR治疗.
在TEVAR后6年发现的近端SINE二次性A型大动脉剖析的诊断.
外科干预包括紧急部分门置换,以解决近端SINE.

主要成果:

由于近端SINE,患者在初始TEVAR进行B型剖析6年后出现了A型大动脉剖析.
计算机断层扫描证实了近端SINE的存在,导致了A型解剖.
患者经历了成功的部分门置换,并已出院.

结论:

靠近的SINE可以在TEVAR治疗后多年表现出来,即使在最初治疗B型剖析的情况下也是如此.
这一案例强调了在TEVAR后对SINE进行警和长期监测的必要性.
像SINE这样的晚期并发症需要持续监测,以确保患者的安全和最佳结果.

关键词:

逆行型A型大动脉剖析.胸内血管大动脉修复乙型大动脉剖析

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