【胸主动脉瘤合并小管发育不全1例报告】。

S Asano, H Murayama, Y Nakagawa, T Nakamura, T Sezaki
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引用次数: 0

摘要

一位55岁女性被诊断为胸主动脉瘤伴小管发育不全。囊状动脉瘤占据左颈总动脉和左锁骨下动脉之间的主动脉弓,起源于小管性发育不全的颅壁。在体外循环下行选择性脑灌注动脉瘤切除术,植入编织涤纶移植物。术后过程顺利,术后32天出院。动脉瘤合并缩窄通常是薄壁的,因此应尽早手术治疗。
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[A case report of thoracic aortic aneurysm associated with tubular hypoplasia].

A 55-year-old female was diagnosed as thoracic aortic aneurysm associated with tubular hypoplasia. A saccular aneurysm occupied the aortic arch between left common carotid and left subclavian arteries, arising from the cranial wall of the tubular hypoplasia. The aneurysmectomy was performed under cardiopulmonary bypass with selective cerebral perfusion and woven Dacron graft was implanted. The post-operative course was uneventful and she was discharged 32 days after the operation. Aneurysm associated with coarctation usually is thin walled, therefore an early surgical treatment should be urged.

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