Successful Surgical Correction of Acute Ascending Aortic Dissection: A Case Report

以外科矯正成功的療急性上升主動脈剝離症病例：病例報告

陳英富(Ying-Fu Chen) ； 邱肇基(Chaw-Chi Chiu) ； 陳榮祥(Jong-Shyong Chen) ； 李世雄(Su-Hsiung Lee) ； 林永哲(Young-Tso Lin)

《The Kaohsiung Journal of Medical Sciences》 8卷3期 (1992/03) Pp. 185-188

https://doi.org/10.6452/KJMS.199203.0185

摘要

常病人發生急性主動脈剝離症時，其自然癒後非常的不好，尤其是侵犯上升主動脈時。這種疾病長久來被認為是一種可怕的心血管病變。侵犯上升主動脈的剝離症，假如不接受治療或以藥物控制它，那麼其急性死亡率高達百分之九十。因此，目前的觀念認為假如急性剝離侵犯上升主動脈時，應該立即施以外科手術，雖然外科手術仍然有很高的手術死亡率。
一位60歲的男性病人，因突然胸痛，盜汗，於西元1986年12月28日經急診入院，經診斷為急性上升主動脈剝離症。我們成功地施以外科緊急手術。術後病人雖然發生呼吸不全及胸骨傷口裂開等合併症，但病人於術後第52天順利出院。術後到目前為止共追縱4年，病人目情況良好。本例為本院首例成功地以外科手術治療的急性主動脈剝離症病例。

並列摘要

The prognosis of patients with acute aortic dissection is extremely poor, especially when involving the ascending aorta. It has long been recognized as a catastrophic cardiovascular event. Acute dissections involving an ascending aorta have approximately a 90 percent acute mortality rate if left untreated or treated medically. Therefore, nearly all patients with acute ascending aortic dissection should be surgically treated immediately after a diagnosis has been established.
A 60-year-old man having an acute ascending aortic dissection was successfully operated on with a resection of the dissection aorta which was replaced with a Dacron graft. The postoperative course was complicated with a respiratory insufficiency and a disruption of the sternal wound. A 4 years follow-up confirmed the patient was in good condition.
This is the first successfully operated case of acute ascending aortic dissection at our hospital.

並列關鍵字

acute ascending aortic dissection