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Helena Garcia Betinardi Bernardi¹, Cristhian Espinoza Romero¹, Vanessa Simioni Faria¹

¹Heart Institute (InCor), Instituto do Coração, Hospital das Clínicas, HCFMUSP, Universidade de São Paulo, São Paulo, SP, Brazil.

|March 27, 2025

概括

心脏移植 (HT) 后的大动脉动脉瘤 (AA) 只会影响一个大动脉段. 本案例研究详细介绍了12年HT后的捐赠者大动脉AA的成功修复,突出了尽管有类似的全身暴露,但局部疾病.

科学领域:

心血管外科心血管外科
移植免疫学移植免疫学
主动脉疾病主动脉疾病

背景情况:

使用双技巧的正管心脏移植 (HT) 创建了两个不同的大动脉段.
已经观察到动脉瘤疾病 (AA) 选择性地影响这些大动脉段之一,尽管相同的全身暴露.
这种局部大动脉病理的病因仍然不完全理解.

研究的目的:

报告一个心脏移植接受者成功修复大动脉动脉瘤的病例.
为了突出发生局部动脉瘤疾病的发生在捐赠者大动脉段后的双关节心脏移植.
为了解心脏移植后的大动脉并发症作出贡献.

主要方法:

一个大动脉动脉瘤的手术修复.
检查心脏移植后的患者病史.
手术后的临床和成像随访.

主要成果:

成功地手术修复了只限于捐赠者大动脉片段的大动脉瘤.
该患者在动脉瘤诊断前12年接受了双心脏移植.
在随访期间没有发现复发或并发症.

结论:

大动脉动脉瘤在心脏移植后可能发生在大动脉的特定部分.
手术修复是治疗HT受体局部大动脉动脉瘤的可行选择.
需要进一步的研究来阐明移植后细分特异性大动脉病理背后的机制.

关键词:

上升的大动脉动脉瘤.心脏移植心脏移植

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