Panos Aristotelis
Clinic for Cardiac Surgery, Hygeia Hospital, Athens, Greece.
Hellenic J Cardiol. 2007 Mar-Apr;48(2):115-6.
A 56-year-old man, known for type B aortic dissection, was treated 3 years before with a Talent endograft (Medtronic, Minneapolis, USA) in the descending aorta. He presented with tamponade caused by the perforation of the aortic intima by the uncovered stent strut. The ascending aorta and part of the aortic arch were replaced. The operation and recovery were uneventful. To avoid aortic arch damage by thoracic stent-grafts, the proximal stent should be fully covered. In addition we should be very cautious about the proximal landing zone of the stent, which should not be on the curved portion of the aorta.
一名56岁男性，因B型主动脉夹层而闻名，3年前在降主动脉接受了Talent血管内支架移植物（美敦力公司，美国明尼阿波利斯）治疗。他因裸支架支柱穿透主动脉内膜导致心脏压塞。升主动脉和部分主动脉弓被替换。手术和恢复过程顺利。为避免胸段支架型人工血管损伤主动脉弓，近端支架应完全覆盖。此外，我们应非常谨慎地选择支架的近端锚定区，其不应位于主动脉的弯曲部分。
