累及异常右锁骨下动脉的主动脉夹层烟囱技术。
Chimney technique for aortic dissection involving an aberrant right subclavian artery.
机构信息
Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
出版信息
Ann Thorac Surg. 2014 Jan;97(1):315-7. doi: 10.1016/j.athoracsur.2013.05.094.
We report a case involving a ruptured acute type B aortic dissection originating from an aberrant right subclavian artery (ARSA). A thoracic stent-graft was deployed in the distal arch close to the origin of the ARSA; the entry site at the origin of the ARSA was embolized with metallic coils. Perfusion of the left subclavian artery was preserved without a surgical bypass by using a chimney graft. This procedure is a feasible and less invasive treatment for high-risk sternotomy patients and is an effective strategy for acute aortic dissections involving an ARSA.
我们报告一例源于异常右锁骨下动脉（ARSA）的急性 B 型主动脉夹层破裂病例。在远端弓部靠近 ARSA 起源处放置了一个胸主动脉支架移植物；ARSA 起源处的入口部位用金属线圈栓塞。通过使用烟囱移植物保留了左锁骨下动脉的灌注，无需进行外科旁路手术。对于高危开胸手术患者来说，该手术是一种可行且微创的治疗方法，也是治疗涉及 ARSA 的急性主动脉夹层的有效策略。
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