Mertens Renato, Valdés Francisco, Kramer Albrecht, Mariné Leopoldo, Vergara Jeannette, Valdebenito Magaly
Sección de Cirugía Vascular y Endovascular, Departamento de Enfermedades Cardiovasculares y División de Cirugía, Pontificia Universidad Católica de Chile.
Rev Med Chil. 2002 Sep;130(9):1027-32.
The traditional treatment of traumatic lesions of the aortic arch branches requires extended surgical exposures, not exempt of morbidity and mortality. Over the last decade, devices that allow a minimally invasive treatment, have been developed. The vessel can be repaired without direct exposure, using an endovascular procedure. We report three patients with traumatic pseudoaneurysms of the left subclavian, brachiocephalic and left common carotid arteries, respectively. All lesions were successfully repaired with the insertion of an endograft. Although long term results of these procedure are unknown, repair of a future stenosis or occlusion is less complicated than the treatment required by the original lesion. Endoluminal repair appears as a safe, efficient and less invasive treatment for these lesions.
主动脉弓分支创伤性病变的传统治疗需要广泛的手术暴露，且无法避免 morbidity 和 mortality。在过去十年中，已开发出允许微创治疗的设备。使用血管内手术，无需直接暴露即可修复血管。我们报告了三名分别患有左锁骨下动脉、头臂干和左颈总动脉创伤性假性动脉瘤的患者。所有病变均通过植入血管内移植物成功修复。尽管这些手术的长期结果尚不清楚，但未来狭窄或闭塞的修复比原发病变所需的治疗要简单。腔内修复似乎是这些病变安全、有效且侵入性较小的治疗方法。
