Marfan Syndrome Management: Back to Basic
52:13-53:30
Dr. Malaisrie, are there protocols for aneurysms in the ascending aorta above the root. Is that different from aor, aneurysms at the root?
Maisrie先生に質問です。大動脈基部の先にある上行大動脈にできた動脈瘤の置換手術では、手術の基準となる太さは大動脈基部とは違うのですか？
We group the ascending aorta with aortic roots so those numbers are generally the same, which we're talking about the tubular ascending aorta and the aortic root, we'll use the same numbers for both.
上行大動脈は大動脈基部とセットで考えますので、手術適応となる太さは大動脈基部と同じです。
Can you talk a little bit about abdominal aortic aneurysms? There's a question here about them and also somebody actually emailed me about that today. So, you know, what's, what do you look for? I know I've heard that you can sometimes I guess you can stabilize so if you talk about that a little bit?
腹部大動脈の動脈瘤について質問をいただいているので、説明をお願いしたいのですが…
Yeah, abdominal aortic aneurysms are below the diaphragm so it does not need cardiac surgery. Typically your vascular surgeon will manage that. Sometimes you can feel it but the test of choice for that is an ultrasound. You don't need a CT scan to detect that so that's just sound waves and the number for that I think is also 5.0 to get that repaired.
腹部大動脈瘤は横隔膜の下にできますので、心臓の手術は必要なく、手術は一般に血管外科医が行います。自覚することもありますが、発見にはエコー検査で十分なので、CT検査の必要はありません。手術適応となる太さは5.0cmです。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
