Department of Liver and Vascular Surgery of West China Hospital, Sichuan University, No. 37, Guoxue Street, Chengdu, 610041 Sichuan, China.
Surg Today. 2012 Dec;42(12):1219-24. doi: 10.1007/s00595-012-0164-2. Epub 2012 Apr 3.
Few cases of hybrid repair of thoracoabdominal aneurysm (TAAA) have been reported in Asian countries. The purpose of this article was to report the first successful hybrid repair of TAAA in China. We performed a two-stage hybrid surgical and endovascular procedure to manage a Safi type V TAAA with the celiac artery, superior mesenteric artery and bilateral renal arteries in a 45-year-old male with poor cardiopulmonary reserves. The patient had no complications and is asymptomatic 3 years after the surgery. Despite the fact that the hybrid procedure is based on meticulous techniques, the procedure has seldom been performed in China. In addition to our case report, we also summarize the recently published reports about hybrid repair for TAAA. The hybrid procedure showed a promising midterm outcome for high-risk patients with TAAA, but the late efficacy of this procedure should be evaluated in additional studies.
亚洲国家鲜有胸主动脉腹主动脉瘤（TAAA）杂交修复的病例报告。本文旨在报道首例中国成功施行的 TAAA 杂交修复。我们对一位合并心肺储备功能差的 Safi Ⅴ型 TAAA 患者施行两阶段杂交手术和血管内治疗，处理腹腔干动脉、肠系膜上动脉和双侧肾动脉。患者术后无并发症，3 年后无症状。尽管杂交手术基于精细的技术，但在中国很少开展。除了我们的病例报告，还对 TAAA 杂交修复的最近发表的报告进行了总结。对于 TAAA 的高危患者，杂交手术显示出有前景的中期结果，但该手术的晚期疗效应在进一步的研究中评估。
