手术救治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患者1例

邹坤, 魏大闯, 李文华, 等. 手术救治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患者1例[J]. 临床心血管病杂志, 2022, 38(11): 926-928. doi: 10.13201/j.issn.1001-1439.2022.11.015
引用本文: 邹坤, 魏大闯, 李文华, 等. 手术救治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患者1例[J]. 临床心血管病杂志, 2022, 38(11): 926-928. doi: 10.13201/j.issn.1001-1439.2022.11.015
ZOU Kun, WEI Dachuang, LI Wenhua, et al. Surgery treatment in acute Stanford A aortic dissection with cardiogenic shock with aortic coarctation assisted by ECMO: one case report[J]. J Clin Cardiol, 2022, 38(11): 926-928. doi: 10.13201/j.issn.1001-1439.2022.11.015
Citation: ZOU Kun, WEI Dachuang, LI Wenhua, et al. Surgery treatment in acute Stanford A aortic dissection with cardiogenic shock with aortic coarctation assisted by ECMO: one case report[J]. J Clin Cardiol, 2022, 38(11): 926-928. doi: 10.13201/j.issn.1001-1439.2022.11.015

手术救治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患者1例

  • 基金项目:
    四川省医学科学院·四川省人民医院临床研究及转化基金(No:2021LY08)
详细信息
    通讯作者: 刘胜中,E-mail:liusqhy@163.com
  • 中图分类号: R541.3

Surgery treatment in acute Stanford A aortic dissection with cardiogenic shock with aortic coarctation assisted by ECMO: one case report

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  • 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。
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  • 图 1  患者心电图

    Figure 1.  EKG of the patient

    图 2  CTA三维重建

    Figure 2.  3D reconstruction of CTA

  • [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

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出版历程
收稿日期:  2022-06-20
刊出日期:  2022-11-13

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