Yano Hiromi, Ishimaru Shin, Kawaguchi Satoshi, Obitsu Yukio
Department of Surgery II, Tokyo Medical University, Japan.
Ann Thorac Surg. 2002 Jan;73(1):288-91. doi: 10.1016/s0003-4975(01)02659-5.
An endovascular stent graft was successfully deployed to the primary entry site in the proximal descending thoracic aorta after total aortic arch replacement using the "elephant trunk" technique in acute type A aortic dissection. The residual false lumen of the descending aorta was thrombosed completely after stent grafting. The elephant trunk was feasible for a proximal landing zone for stent grafting of the descending aorta. Stent grafting in combination with aortic arch replacement was a safe and effective procedure, and may be an alternative choice in carefully selected patients with type A aortic dissection.
在急性A型主动脉夹层中，采用“象鼻”技术行全主动脉弓置换术后，成功地将血管内支架移植物植入降主动脉近端的主要入口部位。支架植入术后，降主动脉残余假腔完全血栓形成。象鼻技术对于降主动脉支架植入的近端锚定区是可行的。支架植入联合主动脉弓置换术是一种安全有效的手术方法，对于经过精心挑选的A型主动脉夹层患者可能是一种替代选择。
