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Aortic arch aneurysm of Takayasu arteritis associated with entero-Behcet disease.

机译:与肠-贝塞特病相关的Takaayasu动脉炎的主动脉弓瘤。

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摘要

We report a case of a ruptured aortic arch aneurysm due to Takayasu arteritis concomitant with entero-Behcet disease. A 53-year-old woman with total left lung atelectasis underwent emergency total aortic arch replacement with a modified Bentall operation and elephant trunk procedure. The postoperative course was highly eventful. A pseudoaneurysm of the left coronary button occurred with mediastinitis due to fistula of the left bronchus into the remnant of the aneurysmal wall. The left main trunk was reconstructed with a saphenous vein graft. The left bronchial fistula into the esophagus was exposed and an esophageal stent was placed. Finally, the saphenous vein graft ruptured and the patient expired. The autopsy diagnosis was Takayasu arteritis. This is the first reported case of concomitant Takayasu arteritis and entero-Behcet disease.
机译:我们报告一例由于Takaayasu动脉炎伴肠-贝塞特氏病而破裂的主动脉弓瘤。一名53岁左全肺不张的妇女接受紧急的主动脉弓置换术,并采用改良的Bentall手术和大象躯干手术。术后病程多发。由于左支气管的瘘管进入动脉瘤壁的残余部分,导致纵隔炎发生左冠状动脉假性动脉瘤。用大隐静脉移植重建左主干。暴露进入食道的左支气管瘘,并放置食道支架。最后,大隐静脉移植物破裂,患者死亡。尸检诊断为高津动脉炎。这是首例同时发生的Takayasu动脉炎和Entero-Behcet病病例。

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