期刊文献+
共找到1篇文章
< 1 >
每页显示 20 50 100
Type A aortic dissection following heart transplantation:A case report
1
作者 Zhu Zeng Lin-Jie Yang +1 位作者 Chao Zhang Fen Xu 《World Journal of Clinical Cases》 SCIE 2022年第15期5077-5081,共5页
BACKGROUND Cardiac transplantation is considered the standard treatment for refractory endstage heart failure.Worldwide,5074 heart transplantations were performed in 2015.About 100 heart transplants are performed at t... BACKGROUND Cardiac transplantation is considered the standard treatment for refractory endstage heart failure.Worldwide,5074 heart transplantations were performed in 2015.About 100 heart transplants are performed at the authors’center each year.The usual complications of heart transplantation include graft rejection,infection,and graft dysfunction.Aortic dissection after heart transplantation is very rare and is a serious complication that requires a hybrid procedure.CASE SUMMARY A 58-year-old female patient was admitted to Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology in July 2020 because of unprovoked low back pain without precipitating causes.Magnetic resonance imaging and computed tomography angiography showed type A aortic dissection with an aberrant right subclavian artery.After admission,urapidil was used to control blood pressure.Ten days later,the patient underwent ascending aortic and aortic arch replacement,subclavian artery reconstruction,and endovascular repair of abdominal and thoracic aortic aneurysms.A cardiopulmonary bypass was established through the right femoral artery and femoral vein.The aberrant right subclavian artery,innominate artery,left common carotid artery,and left subclavian artery were blocked,and the left and right common carotid arteries were cannulated for bilateral cerebral perfusion.CONCLUSION The right axillary artery could not be selected for cardiopulmonary bypass intubation because of aberrant right subclavian artery. 展开更多
关键词 Type A aortic dissection Heart transplantation aberrant right subclavian artery Cardiopulmonary bypass Case report
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部