在一个12岁的病人腹腔大动脉的长段缩:一个病例报告
Debashish Nayak1, Samarjit Bisoyi2
1Cardiovascular and Thoracic Surgery, Apollo Hospitals Bhubaneswar, Bhubaneswar, IND.
Cureus
|January 26, 2026
概括
中心综合征 (MAS) 是一种罕见的主动脉狭窄,需要在儿科患者中进行手术绕道. 这一案例显示,在一个12岁的孩子身上成功地进行了旁路,在手术后的5年内解决了高血压问题.
科学领域:
- 血管外科 血管外科
- 儿童心脏病学 儿童心脏病学
- 医学案例报告 病例报告
背景情况:
- 腹腔大动脉综合征 (MAS) 或腹腔大动脉缩是一种罕见的血管异常,导致大动脉狭窄.
- 儿科表现复杂,往往导致诊断延迟和预后不佳,特别是在早产婴儿.
- 常见的症状包括未解决的高血压,音和下肢脉冲减弱,需要手术干预.
研究的目的:
- 介绍一个成功手术治疗中门综合征的案例. 在儿科患者中.
- 突出这一罕见疾病的手术干预的长期结果.
主要方法:
- 一名患有严重头痛和高血压的12岁男孩接受了诊断成像 (多普勒,CT血管图).
- 手术修复涉及使用达克朗管移植的胸腔腹腔大动脉大动脉绕道.
- 术后管理包括药物调整和长期随访.
主要成果:
- 绕道手术成功降低了手足骨压力梯度.
- 患者在调整后的抗高血压药物下出院,这些药物后来被停止使用.
- 患者在手术后的五年内保持无症状和正常压力,随着正常的随访成像.
结论:
- 手术绕道是小儿中风中风综合征的有效治疗方法.
- 成功的手术管理可以导致长期解决高血压和儿童患者的症状缓解.
- 这一案例证明了通过及时的手术干预来实现终身疾病管理的潜力.
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