一站式杂交手术治疗孤立性腹主动脉夹层合并重度主动脉瓣关闭不全1例
Chinese Journal of Thoracic and Cardiovascular Surgery(2022)
Abstract
53岁男性患者,在我院杂交手术室行一站式杂交手术治疗孤立性腹主动脉夹层合并重度主动脉瓣关闭不全,先行腹主动脉腔内支架置入术,置入Endurant Ⅱ ETBF2513C145EE覆膜支架和Endurant Ⅱ ETLW1613C93EE髂动脉短分支支架。随后在体外循环下完成主动脉瓣置换,术中置入23 mm CARBOMEDICS双叶机械主动脉瓣1枚。手术顺利完成,术后第2天拔除气管插管,转回普通病房继续治疗,复查超声心动图、胸腹主动脉CTA,效果满意痊愈出院。随访3个月,一般情况良好。
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