Mofidi R, Flett M, Milne A, Chakraverty S
Department of Vascular Surgery and Radiology, Ninewells Hospital, Dundee DD1 9SY, UK.
Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1013-5. doi: 10.1007/s00270-007-9076-8. Epub 2007 May 29.
This report describes the case of an early postoperative anastomotic leak following elective open repair of an infrarenal abdominal aortic aneurysm which was successfully treated by endovascular stent-grafting. A 71-year-old man underwent open tube graft repair of abdominal aortic aneurysm. Twelve days later he presented with a contained leak from the distal anastomosis, which was confirmed on CT scan. This was successfully treated with a bifurcated aortic stent-graft. This case illustrates the usefulness of the endovascular approach for resolving this rare surgical complication of open repair of abdominal aortic aneurysm and the challenges associated with the deployment of such a device within an aortic tube graft.
本报告描述了一例肾下腹主动脉瘤择期开放修复术后早期吻合口漏的病例，该病例通过血管内支架植入术成功治疗。一名71岁男性接受了腹主动脉瘤开放管状移植物修复术。12天后，他出现了远端吻合口局限性渗漏，CT扫描证实了这一点。这通过分叉型主动脉支架移植物成功治疗。该病例说明了血管内方法在解决腹主动脉瘤开放修复这种罕见手术并发症方面的有用性，以及在主动脉管状移植物内部署此类装置所面临的挑战。
