采用Kommerell憩室对右主动脉弓动脉瘤进行杂交修复术。
Hybrid repair of right aortic arch aneurysm with a Kommerell's diverticulum.
作者信息
Tanaka Koyu, Yoshitaka Hidenori, Chikazawa Genta, Sakaguchi Taichi, Totsugawa Toshinori, Tamura Kentaro
机构信息
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2014 Jul;22(6):725-7. doi: 10.1177/0218492313481465. Epub 2013 Sep 4.
We describe the case of a 74-year-old man who underwent a hybrid open and endovascular approach for repair of dissecting thoracic aortic aneurysm of a right aortic arch with aberrant left subclavian artery arising from a Kommerell's diverticulum. Total debranching using a tailored quadrifurcated graft and thoracic endovascular aneurysm repair for the transverse aortic lesion were performed. The procedures were successfully accomplished with complete exclusion of the aneurysm. This hybrid procedure for complex aortic arch disease may reduce perioperative complications compared to challenging conventional open approaches.
我们描述了一名74岁男性的病例，该患者接受了开放手术与血管腔内修复相结合的方法，用于修复右位主动脉弓合并起源于Kommerell憩室的迷走左锁骨下动脉的胸主动脉夹层动脉瘤。采用定制的四分支移植物进行全去分支，并对横位主动脉病变进行胸主动脉腔内动脉瘤修复。手术成功完成，动脉瘤完全被排除。与具有挑战性的传统开放手术相比，这种用于复杂主动脉弓疾病的杂交手术可能会减少围手术期并发症。
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