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经皮肠系膜支架置入术联合腹腔镜探查治疗急性B型主动脉夹层的内脏灌注不良

Percutaneous mesenteric stenting followed by laparoscopic exploration for visceral malperfusion in acute type B aortic dissection.

作者信息

Shiiya Norihiko, Sawada Akihiro, Tanaka Eiichi, Tachibana Tsuyoshi, Matsuzaki Kenji, Kunihara Takashi

机构信息

Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan.

出版信息

Ann Vasc Surg. 2006 Jul;20(4):521-4. doi: 10.1007/s10016-006-9034-y. Epub 2006 Apr 20.

DOI:10.1007/s10016-006-9034-y
PMID:16625415
Abstract

A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.

摘要

一名55岁男性因急性B型主动脉夹层的灌注不良接受了经皮肠系膜和左肾支架置入术。经皮血管重建后立即进行腹腔镜探查，以确保腹腔脏器的完整性。由于肠系膜梗死的诊断有时可能困难，且延误可能致命，因此我们主张，如果需要验证腹腔脏器的完整性，在经皮处理内脏灌注不良后，将腹腔镜探查作为一种微创方法。

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