DFW Vascular Group, 221 W. Colorado Blvd, Ste 625, Dallas, TX 75208, USA.
J Vasc Surg. 2011 Oct;54(4):1201-4. doi: 10.1016/j.jvs.2011.05.003. Epub 2011 Jul 13.
We present a 66-year-old man with a 5.7-cm saccular descending thoracic aortic aneurysm and a smaller 4.6-cm aneurysm just proximal to the celiac artery. The patient was judged to be too risky for open surgical repair because of poor anatomy and health. Previous stenting of the iliac arteries for a kinked aortoiliac open graft precluded conventional endovascular aneurysm repair. The descending thoracic aorta was successfully repaired using endovascular methods with a standard Talent (Medtronic, Los Angeles, Calif) thoracic proximal main stent graft, which was reverse-loaded onto the delivery device and delivered antegrade through the right axillary artery.
我们报告 1 例 66 岁男性患者，其降主动脉存在 5.7cm 的囊状胸主动脉瘤，在腹腔干动脉近端还有 1 个较小的 4.6cm 动脉瘤。由于解剖结构不佳和健康状况较差，该患者被认为不适合开放手术修复。先前因髂动脉迂曲而对髂动脉进行支架置入的开放移植术后，常规血管内动脉瘤修复也不可行。降主动脉通过经右侧腋窝动脉顺行送入标准 Talent（美敦力公司，洛杉矶，加利福尼亚州）胸主动脉近端主干支架移植物，成功地使用血管内方法进行了修复，该移植物先被反向装载到输送装置上，然后再顺行送达。
