Santo Kirkpatrick C, Riley Peter, Guest Peter, Bonser Robert S
Department of Cardiac Surgery, University Hospital Birminingham NHS Trust, Birmingham, UK.
J Card Surg. 2007 Nov-Dec;22(6):500-1. doi: 10.1111/j.1540-8191.2007.00460.x.
Endovascular repair of thoracic aneurysms has emerged as an attractive alternative especially in high-risk patients. However, the aortic curvature and potential coverage of the epiaortic vessels limit the use of stent-grafts in aneurysms located in the aortic arch. We report a case with a saccular aneurysm in the distal arch and proximal descending aorta, where we have transposed the epiaortic vessels to gain a longer proximal neck in the aortic arch to safely deploy an endovascular stent.
胸主动脉瘤的血管内修复已成为一种有吸引力的替代方法，尤其是在高危患者中。然而，主动脉弓的曲率和主动脉旁血管的潜在覆盖范围限制了覆膜支架在位于主动脉弓的动脉瘤中的应用。我们报告了一例位于主动脉弓远端和降主动脉近端的囊状动脉瘤病例，我们通过移位主动脉旁血管，在主动脉弓获得了更长的近端颈部，以安全地植入血管内支架。
