Ronchey S, Serrao E, Kasemi H, Fazzini S, Mangialardi N
Department of Vascular Surgery San Filippo Neri Hospital, Rome, Italy -
J Cardiovasc Surg (Torino). 2014 Apr;55(2):265-9.
We report an endovascular approach that used to treat a symptomatic extracranial vertebral artery aneurysm associated to an asymptomatic aberrant right subclavian artery aneurysm. A 54-year-old man presented with neck pain, vertigo and loss of balance. The computed tomography (CT) scan demonstrated a left extracranial vertebral artery aneurysm that compressed and eroded the C5 vertebra associated to an aberrant right subclavian artery aneurysm. Endovascular exclusion of the vertebral aneurysm using a covered stent and a hybrid treatment of the aberrant subclavian artery aneurysm were performed. The 13th month follow-up CT scan confirmed the stent-grafts and supra-aortic vessels patency. The endovascular treatment represents a good option for these complex pathologies with excellent immediate results, reduces the complication rate and the hospital stay if compared to open repair. Long-term follow-up is necessary. To our knowledge this is a unique case in the literature.
我们报告了一种血管内治疗方法，该方法用于治疗与无症状的异常右锁骨下动脉瘤相关的有症状的颅外椎动脉动脉瘤。一名54岁男性出现颈部疼痛、眩晕和平衡失调。计算机断层扫描（CT）显示左颅外椎动脉动脉瘤压迫并侵蚀了C5椎体，同时伴有异常右锁骨下动脉瘤。采用覆膜支架对椎动脉动脉瘤进行血管内封堵，并对异常锁骨下动脉瘤进行了杂交治疗。第13个月的随访CT扫描证实了支架移植物和主动脉弓上血管通畅。血管内治疗对于这些复杂病变是一种很好的选择，具有优异的即刻效果，与开放修复相比，可降低并发症发生率并缩短住院时间。需要进行长期随访。据我们所知，这是文献中独一无二的病例。
