Surgery treatment in acute Stanford A aortic dissection with cardiogenic shock with aortic coarctation assisted by ECMO: one case report
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摘要: 本文报道1例在ECMO辅助下的急性Stanford A型主动脉夹层致心源性休克伴主动脉缩窄的患者,对其同期进行了复合外科手术,最终成功挽救了患者生命。Abstract: This article reports a patient treated by operation and ECMO in cardiogenic shock and aortic coarctation with acute Stanford A aortic dissection, and we performed a compound surgical procedure at the same time, which ultimately saved the patient's life.
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[1] Patel K, Patel A, Ananthanarayanan C. Acute type A dissection, coarctation of aorta, and levoatriocardinal vein-A rare combination[J]. J Card Surg, 2021, 36(10): 3867-3868. doi: 10.1111/jocs.15832
[2] Sinning C, Zengin E, Kozlik-Feldmann R, et al. Bicuspid aortic valve and aortic coarctation in congenital heart disease-important aspects for treatment with focus on aortic vasculopathy[J]. Cardiovasc Diagn Ther, 2018, 8(6): 780-788. doi: 10.21037/cdt.2018.09.20
[3] Wang W, Wu J, Zhao X, et al. Type-A aortic dissection manifesting as acute inferior myocardial infarction: 2 case reports[J]. Medicine(Baltimore), 2019, 98(43): e17662.
[4] 张运玮, 曹春艳, 张进祥. 心肺联合超声结合临床评估在急诊科诊断急性心衰的研究[J]. 临床急诊杂志, 2021, 22(8): 553-557. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202108009.htm
[5] Modares M, Hanneman K, Ouzounian M, et al. Computed tomography angiography assessment of acute aortic syndromes: classification, differentiating imaging features, and imaging interpretation pitfalls[J]. Can Assoc Radiol J, 2022, 73(1): 228-239. doi: 10.1177/08465371211001525
[6] Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection[J]. Eur Heart J, 2001, 22(18): 1642-1681. doi: 10.1053/euhj.2001.2782
[7] 田丹丹, 王彪, 陈兰涛, 等. 急性主动脉综合征15例临床特点及误诊分析[J]. 临床急诊杂志, 2021, 22(4): 282-284. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202104013.htm
[8] Le Gall A, Follin A, Cholley B, et al. Veno-arterial-ECMO in the intensive care unit: From technical aspects to clinical practice[J]. Anaesth Crit Care Pain Med, 2018, 37(3): 259-268. doi: 10.1016/j.accpm.2017.08.007
[9] 张华东, 潘楚云, 江意春, 等. 体外膜肺抢救危重症合并严重心肺功能衰竭的Meta分析[J]. 临床急诊杂志, 2020, 21(4): 292-295. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC202004007.htm
[10] Birincioglu CL, Mavioglu L, Yavas S, et al. Single-stage repair of acute type A aortic dissection associated with aortic coarctation, perimembranous ventricular septal defect, and bicuspid aortic valve[J]. Ann Thorac Surg, 2008, 86(1): 284-287. doi: 10.1016/j.athoracsur.2007.12.048
[11] Sweeney MS, Walker WE, Duncan JM, et al. Reoperation for aortic coarctation: techniques, results, and indications for various approaches[J]. Ann Thorac Surg, 1985, 40(1): 46-49. doi: 10.1016/S0003-4975(10)61168-X