Brar R, Ali T, Morgan R, Loftus I, Thompson M
St George's Vascular Institute, St George's Hospital NHS Trust, Blackshaw Road, London SW17 0QT, UK.
Eur J Vasc Endovasc Surg. 2008 Nov;36(5):545-9. doi: 10.1016/j.ejvs.2008.06.033. Epub 2008 Aug 21.
Aortic arch aneurysm repair continues to pose a formidable technical challenge in a patient population with significant co-morbidity.
We present a successful endovascular repair of an 8.4 cm aortic arch aneurysm, in a 74 year old man, who's previous median sternotomy showed signs of delayed healing, precluding open repair.
Applied endovascular techniques obviated the need for aortic clamping, cardiac bypass, or hypothermic circulatory arrest, via an approach that was potentially infected.
在患有严重合并症的患者群体中，主动脉弓动脉瘤修复术仍然是一项艰巨的技术挑战。
我们报告了一例成功的血管腔内修复8.4厘米主动脉弓动脉瘤的病例，患者为一名74岁男性，其先前的正中胸骨切开术显示有延迟愈合迹象，排除了开放修复的可能性。
应用血管腔内技术避免了通过可能受感染的途径进行主动脉钳夹、体外循环或低温循环停止。
