Croccia Maria Grazia, Levantino Maurizio, Cioni Roberto, Bortolotti Uberto
Department of Cardiothoracic and Vascular Surgery, University of Siena Medical School, Siena, Italy.
Interact Cardiovasc Thorac Surg. 2012 Aug;15(2):304-6. doi: 10.1093/icvts/ivs153. Epub 2012 May 4.
Endovascular stent-graft repair is emerging as the treatment of choice for complicated type B aortic dissection. In this report we describe a patient who presented with type B aortic dissection involving a right-sided aortic arch (RAA), a rare congenital vascular anomaly. The initial aggressive medical treatment proved unsuccessful due to false aneurysm expansion. Given the greater complexity of conventional surgical repair and the limited experience with this rare malformation, endovascular repair was preferred and successfully performed. We report the first case of endovascular repair of type B dissection involving RAA, confirming that endovascular treatment is technically feasible also when the dissection involves this unusual vascular malformation.
血管内支架移植物修复术正逐渐成为复杂B型主动脉夹层的首选治疗方法。在本报告中，我们描述了一名患有B型主动脉夹层并累及右侧主动脉弓（RAA）的患者，这是一种罕见的先天性血管异常。由于假性动脉瘤扩大，最初的积极药物治疗未成功。鉴于传统手术修复的复杂性更高以及对这种罕见畸形的经验有限，血管内修复术成为首选并成功实施。我们报告了首例累及RAA的B型夹层的血管内修复病例，证实当夹层累及这种不寻常的血管畸形时，血管内治疗在技术上也是可行的。
