THE SURGICAL-TREATMENT OF AORTIC DISSECTION IN A PATIENT WITH TURNERS-SYNDROME - REPORT OF A CASE

被引:9
作者
AKIMOTO, N
SHIMIZU, T
ISHIKAWA, M
ISHIMARU, S
FURUKAWA, KI
机构
[1] Second Department of Surgery, Tokyo Medical College, Tokyo, 160, 6-7-1 Nishi Shinjuku, Shinjuku-ku
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 10期
关键词
TURNERS SYNDROME; AORTIC DISSECTION; CYSTIC MEDIONECROSIS; HORSESHOE-SHAPED PATCH PLASTY;
D O I
10.1007/BF01651013
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report herein the successful surgical management of a 42-year-old patient with Turner's syndrome (TS) complicated by Stanford type B aortic dissection. The patient had a single entry in the proximal descending aorta with dissection extending from the entry point to the abdominal aorto-left iliac bifurcation. A patch plasty using felt reinforcement was performed through a left 4th intercostal space thoractomy. Her postoperative course was uneventful and she has been well during the 3 years since her operation. There have been only nine reports of patients with TS complicated by aortic dissection for whom operations were performed; however, the details of surgical treatment have not been well documented. This paper reports the course of aortic dissection and the surgical methods employed in the treatment of our patient.
引用
收藏
页码:929 / 932
页数:4
相关论文
共 19 条
[1]  
DiGeorge A.M., Disorders of the gonads, hypergonadotropic hypogonadism in the female, Textbook of pediatrics, pp. 1460-1463, (1992)
[2]  
Lin A.E., Lippe B.M., Geffner M.E., Gomes A., Lois J.F., Barton C.W., Rosenthal A., Friedman W.F., Aortic dilation, dissection, and rupture in patients with Turner syndrome, J Pediatr, 109, pp. 820-826, (1986)
[3]  
Allemann J., Muller G., Legat M., Seltene Variante eines Turner-Ullrich-Syndromes, Schweiz Med Wschr, 112, pp. 1249-1255, (1982)
[4]  
Herva R., Wendt L., Turnerin oireyhtymää poteneen äkkikuolema, Duodecim, 97, pp. 957-959, (1981)
[5]  
Hata J., Hosoda Y., Ultrastructural and histochemical studies on aortic dissecting aneurysm (in Japanese), J Jpn Coll Angiol, 26, pp. 493-498, (1986)
[6]  
Mori Y., Sakata Y., Tsuchida A., Oka R., Okuno A., A case of Turner syndrome associated with dissecting aneurysm (in Japanese), Nippon Syounika Gakki Zassi (Jpn J Pediatr), 90, pp. 1081-1086, (1986)
[7]  
Wendel H., Schults J., Parbs H., Zum Kinking des Aortenbogens beim Turner Syndrom, Ges Inn Med, 23, pp. 411-413, (1968)
[8]  
Miller J.M., Herrera E.L., Puga U.C., Torres G.S., Syndrome de Turner y aneurisma discente de la aorta, Arch Inst Cardiol Mex, 44, pp. 771-775, (1974)
[9]  
Salbado C.R., Sindrome de Turner. Communication de un caso associado con aneurisma disecante de la aorta. Revision de la literature, Rev Fac Cienc Med Univ Cordova, 19, pp. 193-195, (1961)
[10]  
Anabtawi I.N., Ellison R.G., Yeb T.J., Hall D.P., Dissecting aneurysm of aorta associated with Turner's syndrome, J Thorac and Cardiovasc Surg, 47, pp. 750-754, (1964)