巨型下降胸腔大动脉动脉瘤:一个病例报告
Rassul Zhumagaliyev1, Yerlan Orazymbetov2, Serik Aitaliyev3
1Department of Cardiac, Thoracic and Vascular Surgery, Hospital of Lithuanian University of Health Sciences, Kauno Klinikos, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Acta medica Lituanica
|February 9, 2026
概括
巨型下降胸大动脉动脉瘤 (GDTAA) 是一种罕见的疾病,需要及时干预. 本案例详细介绍了一个大型GDTAA成功地通过开放式手术治疗,强调早期诊断和管理以获得更好的结果.
科学领域:
- 心血管外科心血管外科
- 血管医学 血管医学
- 医学案例报告 病例报告
背景情况:
- 巨型下降胸大动脉动脉瘤 (GDTAA) 是一种罕见的血管疾病,由大动脉直径>10厘米定义.
- 由于GDTAA存在严重的破裂和死亡风险,因此需要及时诊断和干预.
- 关于GDTAA的文献有限,特别是关于极端动脉瘤扩张的文献.
研究的目的:
- 报告一个巨大的GDTAA案例,这是最大的记录之一.
- 为了突出复杂的GDTAA病例的成功手术管理.
- 强调GDTAA早期识别和干预的重要性.
主要方法:
- 一位68岁的男性患者的演示,GDTAA为14.08 × 10.04厘米.
- 使用计算机断层扫描 (CT) 血管造影的诊断成像,以评估动脉瘤的程度和器官压缩.
- 使用达克隆移植与同时冠状动脉旁路移植 (CABG) 的开放性手术修复.
主要成果:
- 成功地对巨型下降胸前大动脉动脉瘤进行了开放式手术修复.
- 患者同时接受了冠状动脉旁路移植 (CABG).
- 手术后的康复包括呼吸系统酸症,肺气和血液动力学不稳定性的管理,在第十天放出稳定.
结论:
- 早期识别和手术干预对于防止GDTAA的灾难性结果至关重要.
- 综合性手术前评估,手术规划和术后护理对于最佳的患者康复至关重要.
- 在极端动脉瘤病例中,现代成像技术对于准确评估和风险分层至关重要.
相关概念视频
Thoracic Aorta
1.8K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
1.8K
The Thoracic Cage: Sternum
6.2K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
6.2K
The Thoracic Cage: Ribs
8.9K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
8.9K
Aneurysm I: Introduction
439
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...
439
Pressure Relationships in Thoracic Cavity
6.7K
Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
6.7K
Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K


