A 型主动脉夹层修复术后慢性肠系膜缺血。

Q3 Medicine AORTA Pub Date : 2024-11-26 DOI:10.1055/s-0044-1795146

Morgan Hardman, Houssam Farres, Santh Prakash Lanka, Young Erben

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引用次数: 0

摘要

一名 57 岁的男性患者因急性 A 型主动脉夹层伴肢体缺血接受了股股交叉旁路开放式半弓修复术和右下肢筋膜切开术，修复后 5 周，由于肠系膜上动脉起源处的夹层皮瓣间歇性血流动力学塌陷，患者体重下降了 20 磅。该病例突出说明了 A 型主动脉夹层紧急修复后夹层瓣可能带来的挑战。

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Chronic Mesenteric Ischemia after a Type A Aortic Dissection Repair.

A 57-year-old male patient who underwent an open hemiarch repair with a femoral-femoral crossover bypass and right lower extremity fasciotomies for an acute Type A aortic dissection with limb ischemia presented 5 weeks' postrepair with a 20-pound weight loss due to intermittent hemodynamic collapse of the dissection flap over the origin of the superior mesenteric artery. This case highlights the challenges a dissection flap can cause after an urgent Type A aortic dissection repair.

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来源期刊

AORTA Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

119