Szeto Wilson Y, Fairman Ronald M, Acker Michael A, Skelly Christopher L, Augoustides John G T, McGarvey Michael, Woo Edward Y, Velazquez Omaida C
Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ann Thorac Surg. 2006 May;81(5):1872-5. doi: 10.1016/j.athoracsur.2005.07.046.
Endovascular approaches to treat aortic diseases have become an important alternative to open surgical intervention in aortic pathologies. We report a case of an emergency placement of a stent graft in a 16-year-old boy with a contained rupture of an innominate artery pseudoaneurysm. This patient had been previously treated for a mediastinal T-cell lymphoma and underwent mediastinal chemoradiation. He developed tracheal stenosis, requiring multiple tracheal reconstructive surgical procedures, and subsequently emergency ligation of a tracheal-innominate fistula. A pseudoaneurysm of the previously ligated innominate artery developed. Despite coil embolization, it continued to enlarge, requiring emergency endovascular intervention. A pseudoaneurysm of the previously ligated innominate artery subsequently developed, and despite coil embolization, it continued to enlarge, which required emergency endovascular intervention.
血管内治疗主动脉疾病的方法已成为主动脉病变开放手术干预的重要替代方案。我们报告了一例在一名16岁男孩中紧急置入支架移植物治疗无名动脉假性动脉瘤局限性破裂的病例。该患者曾接受纵隔T细胞淋巴瘤治疗并接受纵隔放化疗。他出现了气管狭窄，需要多次气管重建手术，随后紧急结扎了气管 - 无名动脉瘘。先前结扎的无名动脉出现了假性动脉瘤。尽管进行了弹簧圈栓塞，但它仍继续增大，需要紧急血管内介入治疗。先前结扎的无名动脉随后出现了假性动脉瘤，尽管进行了弹簧圈栓塞，但它仍继续增大，这需要紧急血管内介入治疗。
