6XV1440-4AH50 ，6XV1440-4AH50 

年轻男子突发重病只剩半月命，60厘米“人造血管”为其续命

陈敏身高1米78，体重仅90斤，为马凡综合征的患者。

这是一种遗传性结缔组织疾病，患病特征为四肢细长，身高明显超出常人，常伴有心血管系统异常，特别是合并的心脏异常和主动脉瘤。

陈敏身患主动脉A型夹层，是心血管外科为凶险的疾病之一，瘤体极易破裂造成患者死亡，手术风险很高。

2017年3月，中南大学湘雅医院心脏大血管外科团队顺利为陈敏实施了全主动脉弓人工血管置换术+升主动脉人工血管置换术+Bentall术+象鼻支架置入术，为其置换了20公分的人工血管。

黄凌瑾副教授介绍，主动脉弓替换加支架“象鼻”手术治疗A型主动脉夹层临床效果非常好，但如陈敏这样的“马凡综合征”患者，支架“象鼻”远端夹层会逐渐扩张形成动脉瘤，需要二期行全胸腹主动脉置换术。

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