典型文献
Ascending Aortic Aneurysm and Dissection Secondary to Bicuspid Aortic Valve with Concomitant Coarctation of Descending Aorta Successfully Repaired with Extracorporeal Membrane Oxygenation Support: A Case Report
文献摘要：
Type A aortic aneurysm and dissection secondary to bicuspid aortic valve (BAV) with untreated coarctation of the aorta (CoA) in adults is a rare finding because there are almost no "abnormalities" in these patients’ medical histories. Here, we report on a 47-year-old man with unexplained weakness followed by unconsciousness. He was diagnosed with cardiogenic shock and underwent venoarterial extracorporeal membrane oxygenation (VA-ECMO). BAV, ascending aortic aneurysm and dissection (based on bedside echocardiography) and concomitant CoA (based on computed tomography angiography) were confirmed. The patient then underwent emergency surgery including aortic root replacement with a composite mechanical valve conduit, additional ascending-to-descending aortic bypass, and coronary artery bypass grafting with a saphenous vein graft to the right coronary artery. After treatment, he recovered uneventfully. Thus, here we present a case involving a patient in a critical condition with ascending aortic aneurysm and dissection secondary to complex congenital heart defects, who was successfully treated with composite surgical procedures combined with life-saving VA-ECMO.
文献关键词：
Aortic aneurysm;Dissection;Bicuspid aortic valve;Case report;Coarctation of the aorta;Extracorporeal membrane oxygenation
中图分类号：
作者姓名：
Jiang Qin;Du Juan;Yu Tao;Huang Xiaobo;Zuo Mingliang;Huang Keli
作者机构：
Department of Cardiac Surgery, Sichuan Provincial People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, Chengdu, Sichuan 610072, China;Department of Operating Room, Sichuan Provincia People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, Chengdu, Sichuan 610072, China;Department of Surgical Intensive Care Unit, Sichuan Provincia People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, Chengdu, Sichuan 610072, China;Department of Medica Ultrasonics, Sichuan Provincia People’s Hosptal, Affiliated Hospital of University of Electronic Science and Technology, Chengdu, Sichuan 610072, China
文献出处：
引用格式：
[1]Jiang Qin;Du Juan;Yu Tao;Huang Xiaobo;Zuo Mingliang;Huang Keli-.Ascending Aortic Aneurysm and Dissection Secondary to Bicuspid Aortic Valve with Concomitant Coarctation of Descending Aorta Successfully Repaired with Extracorporeal Membrane Oxygenation Support: A Case Report)[J].心血管病探索（英文）,2022(02):124-126
A类：
Ascending,Aneurysm,Bicuspid,Coarctation,Repaired,unconsciousness,uneventfully
B类：
Aortic,Dissection,Secondary,Valve,Concomitant,Descending,Aorta,Successfully,Extracorporeal,Membrane,Oxygenation,Support,Case,Report,Type,aortic,aneurysm,dissection,secondary,bicuspid,valve,BAV,untreated,coarctation,aorta,CoA,adults,rare,finding,because,there,almost,abnormalities,these,patients,medical,histories,Here,report,year,old,man,unexplained,weakness,followed,was,diagnosed,cardiogenic,shock,underwent,venoarterial,extracorporeal,membrane,oxygenation,VA,ECMO,ascending,bedside,echocardiography,concomitant,computed,tomography,angiography,were,confirmed,then,emergency,surgery,including,root,replacement,composite,mechanical,conduit,additional,descending,bypass,coronary,artery,grafting,saphenous,vein,right,After,treatment,recovered,Thus,present,case,involving,critical,condition,complex,congenital,heart,defects,who,successfully,surgical,procedures,combined,life,saving
AB值：
0.56839
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