采用覆盖腹腔干的覆膜支架治疗胸腹主动脉瘤破裂。
Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis.
作者信息
Jorna Francisca H, Verhoeven Eric L G, Bos Wendy T J G, Prins Ted R, Dol Johan A, Reijnen Michel M P J
机构信息
Department of Vascular Surgery, Medical Center Leeuwarden, 8901 BR Leeuwarden, The Netherlands.
出版信息
J Endovasc Ther. 2006 Dec;13(6):770-4. doi: 10.1583/06-1903.1.
PURPOSE
To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis.
CASE REPORT
A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months.
CONCLUSION
Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.
目的
介绍一例成功采用血管内修复术治疗破裂的、可能为霉菌性的胸腹主动脉瘤（TAAA）的病例，该支架型人工血管特意覆盖了腹腔干。
病例报告
一名患有严重肺部合并症的79岁女性，因破裂的霉菌性TAAA延伸至腹腔干而就诊。使用浸泡过利福平的支架型人工血管排除动脉瘤，并特意将其部署以闭塞腹腔干，从而实现有效的远端封闭和固定。患者恢复良好，并接受了长达6个月的抗生素治疗。
结论
血管内修复破裂的TAAA可能是一种挽救生命的选择。在远端解剖结构不佳的紧急情况下，应考虑使用支架型人工血管覆盖腹腔动脉。
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