Nishida Yuji, Ohtake Hiroshi, Kiuchi Ryuta, Sanada Junichirou, Matsui Osamu, Watanabe Go
Departments of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Ishikawa, Japan.
Ann Vasc Dis. 2011;4(4):344-7. doi: 10.3400/avd.cr.11.00048. Epub 2011 Nov 30.
Acute type-B aortic dissection with malperfusion is a serious cardiovascular condition associated with high morbidity and mortality. Recent studies have investigated the efficacy of thoracic endovascular aortic repair (TEVAR) as treatment for acute aortic dissection. In this report, we present a case of acute type-B aortic dissection complicated with malperfusion, which was successfully treated with emergent TEVAR for entry closure by a Matsui-Kitamura stent graft (MKSG). MKSG is a flexible custom-made curved stent graft. The main advantages of MKSG for emergent TEVAR include flexibility, shape, and small profile when compressed.
伴有灌注不良的急性B型主动脉夹层是一种严重的心血管疾病,发病率和死亡率都很高。最近的研究探讨了胸主动脉腔内修复术(TEVAR)治疗急性主动脉夹层的疗效。在本报告中,我们介绍了一例伴有灌注不良的急性B型主动脉夹层病例,该病例通过使用松井-北村支架移植物(MKSG)进行紧急TEVAR治疗入口闭合而成功治愈。MKSG是一种灵活的定制弯曲支架移植物。MKSG用于紧急TEVAR的主要优点包括柔韧性、形状以及压缩时的小外径。