Calcaterra Domenico, Hashimi Samad, Brown Talitha C, Sharma Kapil
Department of Cardiothoracic Surgery, University of Iowa, Carver College of Medicine, Iowa City, IA 52242-1062 , USA.
Interact Cardiovasc Thorac Surg. 2011 Aug;13(2):205-7. doi: 10.1510/icvts.2011.268748. Epub 2011 May 31.
Endovascular stent grafting has emerged as an effective method for the treatment of complicated acute type B aortic dissections. In cases where access to the aorta cannot be established through the ileofemoral trunks, the axillary arteries are used as an alternative route. Often, however, these arteries are too small to accommodate the device sheath. We report the case of an 82-year-old female with complicated type B aortic dissection treated with deployment of an endovascular stent-graft through an 8 mm Dacron graft sewn to the innominate artery.
血管内支架植入术已成为治疗复杂性急性B型主动脉夹层的有效方法。在无法通过髂股动脉建立主动脉通路的情况下，腋动脉可作为替代途径。然而，这些动脉往往过小，无法容纳器械鞘。我们报告了一例82岁女性复杂性B型主动脉夹层病例，通过将一个8毫米的涤纶移植物缝合到无名动脉上，经此植入血管内支架移植物进行治疗。
