心脏直视术中医源性Stanford A型主动脉夹层2例

王浩, 张建, 康婷, 等. 心脏直视术中医源性Stanford A型主动脉夹层2例[J]. 临床心血管病杂志, 2025, 41(6): 481-484. doi: 10.13201/j.issn.1001-1439.2025.06.014
引用本文: 王浩, 张建, 康婷, 等. 心脏直视术中医源性Stanford A型主动脉夹层2例[J]. 临床心血管病杂志, 2025, 41(6): 481-484. doi: 10.13201/j.issn.1001-1439.2025.06.014
WANG Hao, ZHANG Jian, KANG Ting, et al. Iatrogenic Stanford type A aortic dissection during open heart surgery: two cases report[J]. J Clin Cardiol, 2025, 41(6): 481-484. doi: 10.13201/j.issn.1001-1439.2025.06.014
Citation: WANG Hao, ZHANG Jian, KANG Ting, et al. Iatrogenic Stanford type A aortic dissection during open heart surgery: two cases report[J]. J Clin Cardiol, 2025, 41(6): 481-484. doi: 10.13201/j.issn.1001-1439.2025.06.014

心脏直视术中医源性Stanford A型主动脉夹层2例

  • 基金项目:
    四川省科技厅重点研发计划项目(No:2022YFS0365);中国科学院西部之光青年学者培训计划项目(人字[2020]82号)
详细信息

Iatrogenic Stanford type A aortic dissection during open heart surgery: two cases report

More Information
  • 医源性Stanford A型主动脉夹层(iTAAD)在心脏外科手术中非常罕见,是一种非常凶险且致死率非常高的并发症,一旦发生,将会造成严重后果。探讨此并发症的发生原因,为其预防和救治提供参考,具有重要的临床意义。本文报道2例心脏直视术中iTAAD的诊治经过并分析发生iTAAD的原因及处理方式,旨在提高对iTAAD的认识及诊治经验。
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  • 图 1  经食管超声心动图

    Figure 1.  Transesophageal echocardiography

    图 2  病例1的CTA影像

    Figure 2.  CTA image of Case 1

    图 3  病例2的CTA影像

    Figure 3.  CTA image of Case 2

  • [1]

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    von Aspern K, Leontyev S, Etz CD, et al. Iatrogenic type A aortic dissection: challenges and frontiers-contemporary single center data and clinical perspective[J]. Aorta(Stamford), 2022, 10(4): 201-209. http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0042-1756670

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    Singh A, Mehta Y. Intraoperative aortic dissection[J]. Ann Card Anaesth, 2015, 18(4): 537-542. doi: 10.4103/0971-9784.166463

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    Biancari F, Pettinari M, Mariscalco G, et al. Outcome after surgery for iatrogenic acute type A aortic dissection[J]. J Clin Med, 2022, 11(22): 6729. doi: 10.3390/jcm11226729

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    Borulu F, Erkut B. Acute dissection of the ascending aorta as a rare complication of aortocoronary bypasses surgery: a case report[J]. J Tehran Heart Cent, 2019, 14(4): 191-194. http://pubmed.ncbi.nlm.nih.gov/32461761/

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    Etuk AS, Odigwe CI, Singu S, et al. Incidental finding of thoracic aortic dissection in a patient post-coronary artery bypass graft surgery[J]. Cureus, 2023, 15(6): e40443.

    [7]

    Ramadan ME, Buohliqah L, Crestanello J, et al. Iatrogenic aortic dissection after minimally invasive aortic valve replacement: a case report[J]. J Cardiothorac Surg, 2016, 11(1): 136. doi: 10.1186/s13019-016-0531-y

    [8]

    郭世超, 乔志钰, 里程楠, 等. 冠状动脉支架植入术后Stanford A型主动脉夹层的外科治疗[J]. 中国胸心血管外科临床杂志, 2024, 31(1): 111-115.

    [9]

    Fleck T, Ehrlich M, Czerny M, et al. Intraoperative iatrogenic type A aortic dissection and perioperative outcome[J]. Interact Cardiovasc Thorac Surg, 2006, 5(1): 11-14. http://www.onacademic.com/detail/journal_1000038101311610_71a3.html

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  • 施引文献:  0
出版历程
收稿日期:  2024-09-16
刊出日期:  2025-06-13

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