Folkmann Sandra, Waldenberger Ferdinand, Weiss Gabriel, Mertikian Gerard, Moidl Reinhard, Gorlitzer Michael, Grabenwoeger Martin
1Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austia.
Vasc Endovascular Surg. 2013 Nov;47(8):645-7. doi: 10.1177/1538574413503558. Epub 2013 Sep 6.
A 57-year-old man was admitted to our department with recent onset of chest pain. Computed tomography (CT) scans revealed an acute aortic syndrome manifested by a penetrating atherosclerotic ulcer and contained rupture at the level of origin of an aberrant right subclavian artery. A combined vascular and endovascular approach was selected. The entire arch was rerouted, a reversed bifurcated Dacron prosthesis was placed, and a bypass was created between the right common carotid artery and the lusorian artery, followed by thoracic endovascular aortic repair. The clinical course was uneventful. The CT scan obtained after the procedure revealed regular supra-aortic perfusion and complete exclusion of the complex lesion.
一名57岁男性因近期出现胸痛入院。计算机断层扫描（CT）显示为急性主动脉综合征，表现为穿透性动脉粥样硬化溃疡，并在异常右锁骨下动脉起始处有夹层破裂。选择了血管和血管腔内联合治疗方法。重新构建了整个主动脉弓，置入了一个倒置分叉涤纶人工血管，并在右颈总动脉和迷走动脉之间建立了旁路，随后进行了胸主动脉腔内修复术。临床过程顺利。术后的CT扫描显示主动脉弓上血流灌注正常，复杂病变完全被隔绝。
