Kruger Allan J, Holden Andrew H, Hill Andrew A
Department of Vascular Surgery, Auckland Hospital, Auckland, New Zealand.
J Endovasc Ther. 2003 Oct;10(5):936-9. doi: 10.1177/152660280301000516.
To report a new technique of endoluminal thoracic aortic arch aneurysm repair using a scalloped stent-graft.
A 79-year-old man presented with a 7.5-cm thoracic aneurysm involving the inner curve of the aortic arch. Endoluminal repair was performed with a scalloped stent-graft that allowed perfusion of the brachiocephalic (innominate) artery. Preliminary extra-anatomical left common carotid and subclavian artery bypass grafting had been performed to allow coverage of the origins of these vessels.
The use of fenestrated endoluminal grafts in the aortic arch can be achieved safely and may increase the treatment options for the high-risk patient.
报告一种使用带扇形支架移植物进行胸主动脉弓动脉瘤腔内修复的新技术。
一名79岁男性，患有一个7.5厘米的胸主动脉瘤，累及主动脉弓内弯。采用带扇形支架移植物进行腔内修复，该移植物可实现头臂（无名）动脉的灌注。术前已进行解剖外左颈总动脉和锁骨下动脉旁路移植术，以覆盖这些血管的起源部位。
在主动脉弓使用开窗腔内移植物可安全实现，且可能增加高危患者的治疗选择。
