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[在斯坦福A型急性大动脉剖析上升性大动脉置换后,由于伪动脉瘤诱导的压缩导致心脏骤停:一个案例报告]
Daigo Shinoda1, Atsushi Miyagawa, Nobu Yokoyama
1Department of Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|September 25, 2025
概括
一个伪动脉瘤在急性大动脉剖析后的患者中引起了严重的人工血管狭窄. 快速修复和长期监测对于使用BioGlue进行手术的患者至关重要.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 医疗病例报告 病例报告
背景情况:
- 急性大动脉解剖斯坦福A型是危及生命的疾病,需要手术干预.
- 在主动脉修复中使用合成移植和组织密封剂,如BioGlue是常见的.
- 伪动脉瘤是大动脉手术后的潜在并发症.
研究的目的:
- 报告一个罕见的类动脉瘤在动脉裂修复后的人造血管的anastomotic地点形成的罕见病例.
- 讨论潜在的促成因素,包括BioGlue介导的组织毒性和手术并发症.
- 强调警的术后监测和 pseudoaneurysms 的及时干预的重要性.
主要方法:
- 一个27岁的男性患有术后并发症的案例介绍.
- 对伪动脉瘤形成的潜在病因的审查.
- 描述紧急重新手术和患者管理.
- 讨论BioGlue的作用和其他促成因素.
主要成果:
- 由于伪动脉瘤,患者出现了人工血管的严重狭窄.
- 怀疑BioGlue介导的组织毒性是促成因素,以及组织脆弱性和外科因素.
- 紧急重新手术是成功的,患者在没有不良事件的情况下出院.
结论:
- 伪动脉瘤形成是一种严重的并发症,需要迅速进行手术修复.
- 对于那些经历了涉及BioGlue的程序的患者来说,长期观察是必不可少的.
- 多因素原因,包括潜在的组织毒性和手术创伤,应考虑在伪动脉瘤的发展.
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