Bethuyne Noëlla, Bove Thierry, Van den Brande Pierre, Goldstein Jacques P
Department of Cardiac Surgery, Academic Hospital, Free University of Brussels, Brussels, Belgium. noella.bethuyne.pi.be
Ann Thorac Surg. 2003 Jun;75(6):1967-9. doi: 10.1016/s0003-4975(02)05002-6.
Endovascular aneurysm exclusion represents a valuable alternative treatment for descending thoracic aortic aneurysms. Although the minimally invasive character of this procedure is obvious, major complications are possible. We report a 77-year-old male who developed acute retrograde dissection of the aortic arch and ascending aorta during endovascular stent-grafting of a descending aortic aneurysm. Emergent open surgical repair provided a successful outcome.
血管内动脉瘤隔绝术是降主动脉瘤一种有价值的替代治疗方法。尽管该手术的微创特点显而易见，但仍可能出现严重并发症。我们报告一例77岁男性，在降主动脉瘤血管内支架植入过程中发生主动脉弓和升主动脉急性逆行夹层。急诊开放手术修复取得了成功。
