对累及主动脉弓的复杂急性B型夹层进行单阶段杂交修复术。
A single stage hybrid repair of a complicated acute type B dissection with aortic arch involvement.
作者信息
Higashi Rihito, Matsumura Yu, Yamaki Fumitaka
机构信息
Department of Cardiovascular Surgery, Nagano Chuo Hospital, Nagano, Nagano, Japan.
出版信息
Ann Vasc Dis. 2014;7(2):141-4. doi: 10.3400/avd.cr.13-00094. Epub 2014 Mar 15.
Abstract
We present a case in which a single stage hybrid repair was successfully for a complicated acute type B dissection of the aortic arch involvement in a 63-year-old male patient. We performed a combination of different techniques; left subclavian artery debranching, elephant trunk insertion without aortic arch replacement, and thoracic endovascular aortic repair (TEVAR) from antegrade approach. The postoperative course was successful, and the patient was discharged on day 11 after surgery. A-half-year's follow up computed tomography (CT) scan showed shrinkage of thrombus lumen, vascular reverse remodeling.
摘要
我们报告了一例63岁男性患者，成功进行了单阶段杂交修复术，治疗累及主动脉弓的复杂急性B型主动脉夹层。我们采用了多种技术相结合的方法；左锁骨下动脉去分支、不进行主动脉弓置换的象鼻管置入术以及经顺行途径的胸主动脉腔内修复术（TEVAR）。术后过程顺利，患者术后第11天出院。半年的随访计算机断层扫描（CT）显示血栓腔缩小，血管逆向重塑。
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