Varejka P, Lubanda J C, Prochazka P, Heller S, Beran S, Dostal O, Charvat F, Horejs J, Semrad M, Linhart A
Service de médecine interne cardiovasculaire, CHU de la 1(re)-faculté-de-médecine, université Charles, U nemocnice 2, Prague 2, République tchèque.
J Mal Vasc. 2010 Jun;35(3):189-93. doi: 10.1016/j.jmv.2010.01.078. Epub 2010 Mar 20.
Aortic coarctation is a frequent congenital defect requiring early surgical treatment. Late complications of these surgical procedures can be fatal as in the case of a ruptured anastomotic pseudoaneurysm. We present a case of a 49-year-old man presenting with hemorrhagic shock due to this complication who was successfully treated by endovascular techniques with implantation of two stent grafts. This case illustrates the fact that endovascular aortic repair is feasible, certainly less invasive and very efficient for this type of complication when used in an experienced center.
主动脉缩窄是一种常见的先天性缺陷，需要早期手术治疗。这些手术的晚期并发症可能是致命的，比如吻合口假性动脉瘤破裂。我们报告一例49岁男性因该并发症出现失血性休克，通过血管内技术植入两枚支架移植物成功治疗。该病例表明，在经验丰富的中心，血管内主动脉修复对于这类并发症是可行的，创伤肯定更小且非常有效。
