DebakeyⅡ型夹层动脉瘤合并弓降部真性动脉瘤的手术治疗  

Surgical treatment of DeBakey type Ⅱ aortic dissection combined with true aneurysm in the distal aortic arch: a case report

作　　者：张本[1] 张卫达[1] 王晓武[1] 马涛[1] 王晓莉[1] 李杰[1] 

机构地区：[1]广州军区广州总医院心血管外科中心,广东广州510010

出　　处：《南方医科大学学报》2011年第11期1954-1955,共2页Journal of Southern Medical University

基　　金：中国人民解放军总后勤部临床高新技术重大专项课题(2010gxjs031)

摘　　要：DebakeyⅡ型夹层动脉瘤合并弓降部真性动脉瘤的病例临床上非常罕见,由于其病变的复杂性,手术治疗的难度和风险都很大。作者成功治疗了一例23岁DebakeyⅡ型夹层动脉瘤合并弓降部巨大真性动脉瘤的病例(6岁时曾因室间隔缺损接受心脏直视手术)。手术方法为"主动脉瓣置换+升主动脉置换+全弓置换术",体外循环采用深低温停循环选择性脑灌注。术后无明显并发症发生,随访半年效果良好。DeBakey type Ⅱ aortic dissection combined with true aneurysm in the distal aortic arch is a very rare condition, and due to the complicated pathology,its surgical intervention can be difficult and risky.We report a case with this pathology in a 23-year-old man,who received a previous open heart surgery for ventricular septal defect at the age of 6 years.Aortic valve,ascending aorta and total aortic arch replacements were performed.Cardiopulmonary bypass （CPB） including deep hypothermic circulatory arrest with selective antegrade cerebral perfusion was used.No postoperative complications occurred,and the follow-up examination at 6 months after the operation showed good therapeutic results.

关 键 词：DeBakeyⅡ型主动脉夹层 真性动脉瘤 病例报道 

分 类 号：R654.3[医药卫生—外科学]