Abstract:

This study summarized the nursing experience of a patient with right-sided aortic arch and kommerell's diverticulum and thoracic aortic aneurysm complicated with acute coronary syndrome after thoracic endovascular aortic repair. The nursing points are as follows：optimizing emergency procedures to improve the quality of rescue；monitoring the condition of the patient dynamically to prevent postoperative complications；developing personalized rehabilitation training to promote postoperative recovery；implementing “Internet+” follow-up management to improve treatment compliance. After the comprehensive management of a multidisciplinary team and careful nursing care，the patient was discharged 12 days after operation. During 18-month follow-up，the patient was in good condition.

Key words: Thoracic Aortic Aneurysm, Right-Sided Aortic Arch, Endovascular Aortic Repair, Acute Coronary Syndrome, Nursing Care

摘要：

总结1例右位主动脉弓伴憩室合并胸主动脉瘤患者术后并发急性冠脉综合征的护理经验。护理要点：优化急救流程，提升抢救质量；动态监测病情变化，积极预防术后并发症；制订个性化康复训练方案，促进术后康复；实施“互联网+”随访管理，提高治疗依从性。经过多学科团队合作和精心的护理，患者术后第12天好转出院，随访18个月，恢复良好。

关键词: 胸主动脉瘤, 右位主动脉弓, 腔内隔绝术, 急性冠脉综合征, 护理