van Keulen Jasper W, Moll Frans L, Jahrome A Khodadade, van Herwaarden Joost A
Department of Vascular Surgery, University Medical Center, Utrecht, The Netherlands.
J Vasc Surg. 2009 Jul;50(1):190-2. doi: 10.1016/j.jvs.2009.01.045. Epub 2009 May 15.
Several successful cases of endovascular treatment of type B dissections in patients with Marfan syndrome have been reported. In our patient with Marfan syndrome, a type B dissection was successfully treated endovascularly. Three weeks after this procedure, a computed tomographic angiography (CTA) revealed a perforation of the aortic wall distal to the left subclavian artery by a bare strut of the stent graft. A second stent graft was placed to treat this complication. In patients with Marfan syndrome, complications might be prevented by using stent grafts specifically developed to treat dissections. However, specific complications, eg, perforation, must be taken into account and patients have to be followed attentively.
已有多例马凡综合征患者B型夹层的血管内治疗成功案例报道。在我们的马凡综合征患者中，B型夹层通过血管内治疗获得成功。该手术后三周，计算机断层血管造影（CTA）显示支架移植物的裸支架致使左锁骨下动脉远端的主动脉壁穿孔。置入了第二个支架移植物来治疗这一并发症。对于马凡综合征患者，使用专门设计用于治疗夹层的支架移植物可能预防并发症。然而，必须考虑到特定并发症，如穿孔，并且必须密切随访患者。
