Kpodonu Jacques, Wheatley Grayson H, Williams James P, Rodriguez-Lopez Julio A, Ramaiah Venkatesh G, Diethrich Edward B
Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Arizona Heart Institute, Phoenix, Arizona 85006, USA.
Ann Thorac Surg. 2008 Mar;85(3):1115-7. doi: 10.1016/j.athoracsur.2007.04.120.
Surgical repair of post-coarctation pseudoaneurysm is associated with high morbidity and mortality. Endovascular stent grafting is a minimally invasive approach to manage this condition. The small thoracic aorta provides a dilemma for endovascular stent grafting using available commercially available thoracic endografts. We describe a hybrid approach including a novel technique to customize various components of the abdominal endoluminal grafts to repair a post-coarctation pseudoaneurysm. The patient is doing well at 1-year follow-up with no endoleaks.
缩窄后假性动脉瘤的手术修复与高发病率和死亡率相关。血管内支架植入术是治疗这种疾病的一种微创方法。小胸主动脉给使用市售胸段腔内移植物进行血管内支架植入术带来了难题。我们描述了一种杂交方法，包括一种新颖的技术，即定制腹部腔内移植物的各种组件来修复缩窄后假性动脉瘤。该患者在1年随访时情况良好，无内漏。
