Harjai Kishore J, Anderson John
Cardiac Catheterization Laboratories, Guthrie Clinic, One Guthrie Square, Sayre, PA 18840, USA.
J Interv Cardiol. 2008 Jun;21(3):239-41. doi: 10.1111/j.1540-8183.2008.00346.x. Epub 2008 Mar 6.
We describe the case of an 81-year-old male who presented with a rapidly expanding neck hematoma from a common carotid artery pseudoaneurysm. Percutaneous repair using the right femoral artery approach was unsuccessful due to a hostile aortic arch. Using a small left thoracotomy and antegrade left ventricular access to the ascending aorta, a covered stent was successfully delivered at the site of the pseudoaneurysm. Our case provides proof-of-principle that complex carotid interventions can be performed expediently through a left ventricular approach in patients with hostile aortic arch.
我们描述了一名81岁男性患者的病例，该患者因颈总动脉假性动脉瘤出现颈部血肿迅速扩大。由于主动脉弓条件不佳，采用右股动脉入路进行经皮修复未成功。通过左胸小切口并经左心室顺行进入升主动脉，在假性动脉瘤部位成功植入了覆膜支架。我们的病例提供了原理证明，即对于主动脉弓条件不佳的患者，可以通过左心室入路方便地进行复杂的颈动脉介入治疗。
