相关实验视频
Updated: Jan 11, 2026

06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
826
由于急性A型大动脉剖析而导致腹部内移植的崩
Satoki Nakamura1, Tomoaki Kudo2, Junki Yokota1
1Department of Cardiovascular Surgery, Osaka International Medical and Science Center, 10-31, Karasugatsuji, Osaka-shi Tennoji-ku, Osaka, Osaka, 543-8922, Japan.
概括
内血管动脉瘤修复 (EVAR) 是有效的,但可能导致并发症,如内移植崩. 这一案例突出显示了一例罕见的近端内移植崩与急性大动脉剖析在先前治疗的患者.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉疾病 大动脉疾病
背景情况:
- 内血管动脉瘤修复 (EVAR) 是对腹腔大动脉和腹腔动脉瘤的标准治疗方法.
- EVAR与潜在的并发症有关,需要重新干预.
- 靠近内移植器的崩是EVAR的罕见但严重的并发症.
研究的目的:
- 报告一个罕见的腹部内移植近端崩的病例.
- 描述以前有EVAR的患者同时发生急性A型大动脉剖析的情况.
- 讨论联合EVAR并发症和大动脉剖析的管理挑战.
主要方法:
- 案例报告的呈现方式.
- 审查患者的病史和成像.
- 讨论内血管修复 (EVAR) 的结果和并发症.
主要成果:
- 一名先前接受Evar治疗的患者经历了腹部内移植近端崩.
- 该患者还出现了急性A型大动脉剖析.
- 这种组合代表了一个罕见的临床场景.
结论:
- 腹部内移植近端崩是EVAR的一种罕见并发症.
- 同时发生的急性甲型大动脉剖析带来了独特的管理挑战.
- 在EVAR.之后,仔细的患者选择和监测至关重要.
相关概念视频
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
Aneurysm I: Introduction
336
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
336
Aneurysm II: Clinical Manifestations and Diagnostic Studies
258
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
258
Aortic Regurgitation I: Introduction
444
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
444
Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364

