Zhang Mi, Yuan Ye, Hu Yali, Zhao Yi, Liu Hui, Ma Bingbing, Lu Huijun
Department of Vascular Surgery, Wuxi People's Hospital, Affiliated Hospital of Nanjing Medical University, Wuxi, China.
Department of Vascular Surgery, Wuxi People's Hospital, Affiliated Hospital of Nanjing Medical University, Wuxi, China.
Ann Vasc Surg. 2014 Oct;28(7):1798.e7-1798.e10. doi: 10.1016/j.avsg.2014.05.012. Epub 2014 Jun 6.
A 68-year-old man, having right-sided aortic arch (RAA), underwent thoracic endovascular aortic repair (TEVAR) to treat Stanford B type dissection with the chimney technique to extend the proximal landing zone between his right subclavian artery and left subclavian artery (LSA). Six-month follow-up showed that there was sufficient cerebral infusion and positive aortic remodeling, and the chimney stents were patent. The results show the safety and effectiveness of chimney TEVAR for Stanford type B dissection in patients having RAA with an aberrant LSA who have no sufficient proximal fixation zone.
一名68岁男性，患有右侧主动脉弓（RAA），接受了胸主动脉腔内修复术（TEVAR），采用烟囱技术治疗斯坦福B型主动脉夹层，以扩大其右锁骨下动脉和左锁骨下动脉（LSA）之间的近端锚定区。6个月的随访显示，脑灌注充足，主动脉重塑良好，烟囱支架通畅。结果表明，对于没有足够近端固定区的LSA异常的RAA患者，烟囱式TEVAR治疗斯坦福B型夹层具有安全性和有效性。
