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用开放式手术治疗的瘤切除术后伪动脉瘤:综合文献综述和病例报告

Serena Arianna Cutolo¹, Diego Soto¹, Diletta Loschi¹

¹Division of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, 20132 Milan, Italy.

Journal of clinical medicine

|August 28, 2025

概括

修补大动脉修复可以导致晚期的伪动脉瘤. 这些心房切除术后的大动脉形的开放性手术修复是可行的和有效的,特别是在专门的中心.

科学领域:

心血管外科
胸部手术
血管外科

背景情况:

对于大动脉缩而进行的贴片大动脉整形有晚期动脉瘤和伪动脉瘤形成的风险.
这些并发症可能导致破裂和死亡率增加.
一名55岁的男性出现了晚期主动脉瘤,并在最初的修复15年后重新缩.

研究的目的:

报告一个成功的手术修复的病例,
审查有关大动脉缩修复晚期并发症的文献.
评估这些并发症的开放式与内血管方法的结果.

主要方法:

在手术中使用了重复胸切除术和左心绕道术.
伪动脉瘤和旧补丁的部分切除,然后用"Y"形达克朗移植进行重建.
一个全面的文献审查侧重于晚期并发症和治疗结果.

主要成果:

这项手术成功重建了大动脉门,
患者经历了一段无忧无虑的术后过程.
六个月的CT血管图证实了足够的移植通透性.

结论:

开放性手术修复心脏切除术后的伪动脉瘤是一种可行的选择,具有很好的结果.
由于手术的技术复杂性,高体积的大动脉中心可能会获得更好的结果.
需要进一步研究最佳管理策略.

关键词:

甲状腺硬化骨髓动脉瘤发生后虚动脉瘤胸部大动脉胸部切除术

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