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本文引用的文献

1
Hybrid approaches in the treatment of aortic arch aneurysms: postoperative and midterm outcomes.主动脉弓动脉瘤治疗的杂交方法：术后和中期结果。
J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S85-90. doi: 10.1016/j.jtcvs.2012.11.044. Epub 2012 Dec 20.
2
Systematic review of clinical outcomes in hybrid procedures for aortic arch dissections and other arch diseases.主动脉弓夹层和其他弓部疾病的杂交手术临床结局的系统评价
J Thorac Cardiovasc Surg. 2012 Dec;144(6):1286-300, 1300.e1-2. doi: 10.1016/j.jtcvs.2012.06.013. Epub 2012 Jul 11.
3
Antegrade delivery of stent grafts to treat complex thoracic aortic disease.顺行输送支架移植物治疗复杂的胸主动脉疾病。
Ann Thorac Surg. 2010 Aug;90(2):539-46. doi: 10.1016/j.athoracsur.2010.04.040.
4
Repair of chronic type B dissection with aortic arch involvement using a stented elephant trunk procedure.支架象鼻技术治疗累及主动脉弓的慢性 B 型夹层
Ann Thorac Surg. 2010 Jul;90(1):95-100. doi: 10.1016/j.athoracsur.2010.03.048.
5
Results of a new surgical paradigm: endovascular repair for acute complicated type B aortic dissection.一种新的手术模式的结果：急性复杂性B型主动脉夹层的血管腔内修复术
Ann Thorac Surg. 2008 Jul;86(1):87-93; discussion 93-4. doi: 10.1016/j.athoracsur.2008.04.003.
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Neurologic complications associated with endovascular repair of thoracic aortic pathology: Incidence and risk factors. a study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry.胸主动脉病变血管内修复相关的神经系统并发症：发生率及危险因素。一项来自欧洲主动脉瘤修复支架/移植物技术协作组（EUROSTAR）注册研究。
J Vasc Surg. 2007 Dec;46(6):1103-1110; discussion 1110-1. doi: 10.1016/j.jvs.2007.08.020.
7
Staged repair of extensive aortic aneurysms: morbidity and mortality in the elephant trunk technique.广泛主动脉瘤的分期修复：象鼻技术的发病率和死亡率
Circulation. 2001 Dec 11;104(24):2938-42. doi: 10.1161/hc4901.100362.
8
Extensive aortic replacement using "elephant trunk" prosthesis.使用“象鼻”假体进行广泛的主动脉置换。
Thorac Cardiovasc Surg. 1983 Feb;31(1):37-40. doi: 10.1055/s-2007-1020290.

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.

DOI:10.3400/avd.cr.13-00094
PMID:24995058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4072862/
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。