- 期刊
Total Descending Thoracic and Abdominal Aorta Grafting in Type III Aortic Dissection with Aneurysm
完全置換降主動脈與腹主動脈以治療第三型主動脈剝離併主動脈瘤
並列摘要
Single-stage complete replacement of the descending thoracic aorta and the abdominal aorta is a surgical challenge. A 65-year-old man developed acute DeBakey type IIIB aortic dissection and was treated medically. The affected aorta dilated progressively, reaching a maximal diameter of 7 cm 2 years later. Computed tomography revealed a Crawford type II thoracoabdominal aortic aneurysm and an additional infrarenal abdominal aortic aneurysm below the dissected aorta. The descending thoracic aorta and the abdominal aorta were completely replaced with a Hemashield graft under deep hypothermic circulatory arrest. The postoperative course was complicated with transient left hemiparesis and upper gastrointestinal bleeding which were successfully treated by transarterial embolization. The results of this case indicate that complete replacement of the descending thoracic and abdominal aorta can adequately and safely treat type III aortic dissection.
延伸閱讀
- Chiu, K. M., Lin, T. Y., & Chu, S. H. (2007). 血管內氣球近端阻斷術輔助腹主動脈瘤破裂手術：病例報告. Formosan Journal of Surgery, 40(2), 81-84. https://doi.org/10.29833/FJS.200704.0004
- Huang, S. C., Chen, Y. S., Wang, S. S., Ko, W. J., & Lee, Y. C. (2005). 使用體外膜氧合器支持外傷性主動脈截斷之手術治療. Journal of the Formosan Medical Association, 104(9), 677-680. https://doi.org/10.29828/JFMA.200509.0011
- Huang, S. Y., Chou, P. C., Huang, C. H., & Chen, P. H. (2008). 包覆式支架成功的治療醫源性冠狀動脈併主動脈剝離. 輔仁醫學期刊, 6(1), 47-52. https://www.airitilibrary.com/Article/Detail?DocID=18102093-200803-6-1-47-52-a
- 洪佳鳳（2017）。主動脈瓣狹窄經導管主動脈瓣植入術與主動脈瓣置換手術之成本效果分析：系統性回顧與統合分析〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-1008201702492000
- Chen, Y. F., Chiu, C. C., Chen, J. S., Lee, S. H., & Lin, Y. T. (1992). 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. The Kaohsiung Journal of Medical Sciences, 8(3), 185-188. https://doi.org/10.6452/KJMS.199203.0185