Kpodonu Jacques, Wheatley Grayson H, Ramaiah Venkatesh G, Rodriguez-Lopez Julio A, Strumpf Robert K, Diethrich Edward B
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Arizona Heart Institute, Phoenix, Arizona 85006, USA.
Ann Thorac Surg. 2008 Jan;85(1):349-51. doi: 10.1016/j.athoracsur.2007.06.053.
Ascending pseudoaneurysm is an infrequent complication of ascending aortic surgery. Redo operations are often associated with a high surgical morbidity and mortality. Endovascular management of ascending aortic pathologies with endoluminal graft therapies are challenging due to short landing zones and the fear of flow obstruction to the coronaries and brachiocephalic circulation. We report mid-term follow-up of the management of an ascending aortic pseudoaneurysm using a an Amplatz septal occluder (AGA Medical Corp, Golden Valley, MN) in a 51-year-old man considered at high risk for conventional open surgical repair.
升主动脉假性动脉瘤是升主动脉手术罕见的并发症。再次手术常伴有较高的手术发病率和死亡率。由于着陆区短以及担心冠状动脉和头臂循环的血流受阻，采用腔内移植物治疗对升主动脉病变进行血管腔内治疗具有挑战性。我们报告了一名51岁男性患者，因传统开放手术修复风险高，使用Amplatz房间隔封堵器（AGA Medical Corp，明尼苏达州黄金谷）治疗升主动脉假性动脉瘤的中期随访情况。
