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创伤后的大动脉反和根伪动脉瘤后的胸部创伤:一个案例报告
Hiroaki Aizawa1, Haruo Yamauchi2, Masahiko Ando1
1Department of Cardiovascular Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo, Tokyo, 113-8655, Japan.
Surgical case reports
|July 31, 2024
概括
一个罕见的甲状腺根伪动脉瘤和严重的甲状腺吐病例发生在交通事故后的马凡综合征患者身上. 迅速的手术修复是成功的,强调在这些患者胸部创伤后需要警监测.
科学领域:
- 心血管外科心血管外科
- 创伤外科 手术 创伤外科
- 遗传学 遗传学 是一个
背景情况:
- 同时诊断严重的大动脉吐和大动脉根伪动脉瘤的交通伤害是非常罕见的.
- 这个病例涉及一个患有马方综合征的患者,这些病症呈现于创伤后.
研究的目的:
- 报告一例罕见的大动脉根伪动脉瘤和亚急性严重的大动脉吐病例,发生在一个患有马尔凡综合征的患者的交通事故后.
- 强调在患有连接组织疾病的患者中对创伤后大动脉并发症的监测的重要性.
主要方法:
- 一名64岁的女性有马方综合征史,先前有大动脉剖析修复,出现呼吸不良.
- 诊断包括心声回声 (严重的大动脉反) 和CT (大动脉根伪动脉瘤).
- 通过使用经过修改的本塔尔手术,使用生物假体门和三管解剖手术,进行了成功的手术修复.
主要成果:
- 确定了大动脉根部的新发性伪动脉瘤和严重的大动脉吐.
- 术后检查结果显示,Valsalva的鼻有穿孔,顶窗破裂,导致吐.
- 患者经历了成功的手术修复.
结论:
- 突出了极其罕见的前动脉根伪动脉瘤和次急性前动脉吐的二次性交通伤害.
- 强调急需进行频繁的检查,以检测创伤后大动脉吐和伤害,在患有马尔凡综合征的患者中,在胸部受伤后进行频繁的检查.
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