1例科默雷尔憩室腔内主动脉修复术后支气管动脉Ⅱ型内漏病例。
A case of type-2 endoleak from a bronchial artery after endovascular aortic repair for Kommerell diverticulum.
作者信息
Amako Mau, Wada Hideichi, Matsumura Hitoshi, Morita Yuichi, Shimizu Masayuki, Ohsumi Masahiro, Sukehiro Yuta, Minematsu Noritoshi, Nishimi Masaru, Tashiro Tadashi
机构信息
Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
出版信息
Ann Vasc Surg. 2014 Nov;28(8):1934.e3-6. doi: 10.1016/j.avsg.2014.06.079. Epub 2014 Aug 6.
We describe a case of type-2 bronchial artery endoleak after endovascular aortic repair of Kommerell diverticulum (KD) involving right-sided aortic arch and aberrant left subclavian artery (LSA). A 68-year-old woman underwent an endovascular repair of KD with an aberrant LSA in our hospital. Follow-up computed tomography (CT) at 6 months after the procedure showed an endoleak. Digital subtraction angiography revealed a type-2 endoleak from a bronchial artery, but no type-1 or type-2 endoleak from the aberrant left subclavian artery. We performed coil embolization of the KD and the left subclavian artery. The endoleak disappeared in the postoperative CT.
我们描述了一例在对累及右侧主动脉弓和迷走左锁骨下动脉（LSA）的Kommerell憩室（KD）进行血管内主动脉修复术后发生的2型支气管动脉内漏病例。一名68岁女性在我院接受了伴有迷走LSA的KD血管内修复术。术后6个月的随访计算机断层扫描（CT）显示存在内漏。数字减影血管造影显示来自支气管动脉的2型内漏，但未发现来自迷走左锁骨下动脉的1型或3型内漏。我们对KD和左锁骨下动脉进行了弹簧圈栓塞。术后CT显示内漏消失。
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