牛主动脉弓破裂动脉瘤的同期杂交修复术。

Synchronous hybrid repair for ruptured aneurysm of bovine aortic arch.

作者信息

Viswanathan Sidharth, Savlania Ajay, Agrawal Vivek, Parameshwarappa Shashidhar Kallapa, Raman Kapilamoorthy Tirur, Madathipat Unnikrishnan

机构信息

Division of Vascular and Endovascular Surgery, Department of Cardiothoracic & Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

出版信息

Asian Cardiovasc Thorac Ann. 2015 May;23(4):443-5. doi: 10.1177/0218492313513595. Epub 2013 Nov 20.

DOI:10.1177/0218492313513595

PMID:24887906

Abstract

Rupture of an aortic arch aneurysm is a life-threatening emergency with the risk of mortality escalating by the hour. We describe the successful hybrid repair of a ruptured bovine aortic arch aneurysm in a 75-year-old man, which involved aortic arch debranching by ascending aorta-bicarotid bypass followed by relining of the aortic lumen with a stent-graft. The procedure was not only lifesaving but also resulted in an active gentleman at 2-year follow-up. Considering the morbidity and mortality of open surgery using circulatory arrest, state-of-the-art synchronous hybrid repair seems to be an effective alternative for ruptured aortic arch aneurysms.

摘要

主动脉弓动脉瘤破裂是一种危及生命的紧急情况，死亡率每小时都在上升。我们描述了一名75岁男性破裂性牛型主动脉弓动脉瘤的成功杂交修复，该手术包括通过升主动脉-双侧颈动脉旁路进行主动脉弓去分支，然后用覆膜支架修复主动脉腔。该手术不仅挽救了生命，而且在2年随访时患者恢复良好。考虑到使用循环骤停的开放手术的发病率和死亡率，最先进的同步杂交修复似乎是破裂性主动脉弓动脉瘤的一种有效替代方法。