Xu Shang Dong, Fan Zhan Ming, Li Yu, Huang Fang Jiong
Division of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China.
Interact Cardiovasc Thorac Surg. 2008 Dec;7(6):1189-90. doi: 10.1510/icvts.2008.184051. Epub 2008 Sep 19.
Hybrid surgical-endovascular procedure was conducted in a 46-year-old male with extensive thoracic aortic aneurysm. Ascending aorta and arch replacement combined with stent elephant trunk implantation was performed first. An open stent-graft was implanted into the descending aorta. One month later, endovascular repair was conducted. Postoperative CTA showed total coverage of the descending aorta by stent-grafts and the descending aortic aneurysm was totally thrombo-excluded. Stent elephant trunk may be a better alternative to conventional elephant trunk in hybrid surgical-endovascular approaches in treatment of extensive thoracic aortic aneurysm.
对一名患有广泛胸主动脉瘤的46岁男性进行了杂交手术-血管内介入治疗。首先进行升主动脉和主动脉弓置换并结合支架象鼻植入术。将开放式支架移植物植入降主动脉。1个月后进行血管内修复。术后CTA显示支架移植物完全覆盖降主动脉，降主动脉瘤完全被血栓隔绝。在杂交手术-血管内治疗广泛胸主动脉瘤的方法中，支架象鼻术可能是传统象鼻术的更好替代方案。
