Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
Surg Today. 2012 Dec;42(12):1206-9. doi: 10.1007/s00595-012-0320-8. Epub 2012 Sep 14.
We report a case of late type III B endoleak from a fabric tear in the main body of a Zenith bifurcated stent-graft approximately 19 months after implantation. A follow-up computed tomography (CT) scan showed gradual growth in the size of the aneurysm, but no apparent endoleak was recognized. However, the CT scan had demonstrated a mosaic pattern in the aneurysm sac, which could indicate an endoleak from a fabric tear. The defect was repaired by implantation of body extensions, but the patient died 5 h after the procedure.
我们报告了一例 Zenith 分叉型支架移植物主体织物撕裂导致的迟发性 IIIB 型内漏，该病例发生在植入后约 19 个月。随访的计算机断层扫描（CT）显示动脉瘤逐渐增大，但未发现明显的内漏。然而，CT 扫描显示动脉瘤腔内存在镶嵌模式，这可能表明存在织物撕裂导致的内漏。通过植入主体延伸部修复了该缺陷，但患者在手术后 5 小时死亡。
