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在儿童患者的创伤性横向大动脉架伪动脉瘤
Laura Maza Portuondo1, Becky Li1, Manoj Chakiath1
1Nicklaus Children's Hospital, Miami, Florida, USA.
JACC. Case reports
|March 12, 2026
概括
儿科横向大动脉弧伪动脉瘤 (TAAP) 是罕见的,但需要及时诊断. 推迟的手术修复与血压控制和成像建议用于儿科大动脉创伤.
科学领域:
- 心血管外科心血管外科
- 儿科创伤 儿童创伤
- 大动脉损伤 大动脉损伤
背景情况:
- 横侧胸大动脉损伤在儿童中不常见.
- 儿科患者在治疗大动脉创伤方面面临着独特的挑战.
研究的目的:
- 报告一个11岁男孩的横向大动脉弧伪动脉瘤 (TAAP) 病例.
- 讨论儿科TAAP的管理和结果.
主要方法:
- 一个严重的胸部压伤导致TAAP.
- 最初的血液动力学管理,其次是用达克隆移植的延迟手术修复.
- 动态计算机断层扫描 (CT) 用于术前规划.
主要成果:
- 被诊断为III级TAAP,涉及大动脉周长的50%以上.
- 通过使用22毫米的达克隆移植进行手术修复,导致完全康复.
- 由于损伤特征和患者的生长潜力,内血管修复是不可行的.
结论:
- 因此,TAAP需要快速诊断和干预.
- 推迟手术修复,严格控制血压和连续成像是儿科大动脉创伤的可行策略.
- 多学科管理至关重要,适应儿童病例的成人指南.
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