Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
Ann Thorac Surg. 2013 Oct;96(4):e101-e103. doi: 10.1016/j.athoracsur.2013.03.106.
A 71-year-old woman presented with acute chest pain and was admitted at our institution. Computed tomography revealed a penetrating atherosclerotic ulcer in the ascending aorta with extensive intramural hematoma. A transapical endovascular stenting was successfully performed. Computed tomography at a 6-month follow-up visit revealed a type I endoleak, which was restented through the same approach. Despite initial satisfactory results, follow-up revealed a persistent endoleak, so that a high-risk open surgical repair was required. Surgical replacement of the ascending aorta was successfully performed without postoperative neurologic deficit.
一位 71 岁女性因急性胸痛就诊于我院。计算机断层扫描显示升主动脉有穿透性动脉粥样硬化性溃疡伴广泛壁内血肿。经心尖入路腔内血管支架植入术成功实施。6 个月随访时的计算机断层扫描显示 1 型内漏，通过相同途径再次进行支架治疗。尽管初始结果令人满意，但随访发现持续存在内漏，因此需要进行高风险的开放式手术修复。升主动脉置换术成功实施，术后无神经功能缺损。
