Dronavalli Vamsidhar B, Loubani Mahmoud, Riley Peter, Bonser Robert S
University Hospital Birmingham NHS Trust, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
Interact Cardiovasc Thorac Surg. 2009 Oct;9(4):677-9. doi: 10.1510/icvts.2009.208413. Epub 2009 Jul 24.
Thoracic endovascular aortic reconstruction (TEVAR) is increasingly used in the management of descending aortic pathology including aneurysms, dissections and transaction. When treating aortic arch pathology, hybrid procedures have been devised, in which major supra-aortic arteries are translocated using a variety of techniques. Such hybrid procedures offer an attractive alternative to open arch procedures in frail elderly patients in whom the risks of open repair are considerable. We describe a surgical bail-out procedure which was used during a hybrid aortic arch replacement when endovascular aneurysm exclusion could not be achieved.
胸主动脉腔内修复术（TEVAR）越来越多地用于治疗降主动脉病变，包括动脉瘤、夹层和破裂。在治疗主动脉弓病变时，已经设计出了杂交手术，其中使用各种技术将主要的主动脉弓上动脉进行移位。对于开放修复风险相当大的体弱老年患者，这种杂交手术为开放主动脉弓手术提供了一种有吸引力的替代方案。我们描述了一种在杂交主动脉弓置换术中，当无法实现血管内动脉瘤隔绝时所采用的手术补救方法。
