Schwein Adeline, Georg Yannick, Ohana Mickaël, Delay Charline, Lejay Anne, Thaveau Fabien, Chakfe Nabil
Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
Department of Vascular Surgery, Nouvel Hôpital Civil, Strasbourg, France.
Ann Vasc Surg. 2015 Apr;29(3):595.e1-3. doi: 10.1016/j.avsg.2014.10.035. Epub 2015 Jan 14.
Aneurysmal evolution of an aberrant right subclavian artery (ARSA) is an operative indication. Endovascular treatment is a minimally invasive procedure, which offers good short-term and midterm results. We describe a case of a 9-cm diameter ARSA aneurysm in a symptomatic man, treated with the triple-barrel technique using a thoracic aortic stent graft combined with surgical and endovascular revascularization of the supra-aortic trunks. Postoperatively, the patient developed a type III endoleak which was covered. The triple-barrel technique has been a proposed treatment approach for complex aortic arch pathologies and remains a less invasive option when compared with open surgery.
异常右锁骨下动脉（ARSA）的动脉瘤样演变是手术指征。血管内治疗是一种微创手术，具有良好的短期和中期效果。我们描述了一例有症状男性患者，其ARSA动脉瘤直径达9厘米，采用三腔技术治疗，使用胸主动脉覆膜支架，并结合主动脉弓上血管的外科和血管内血运重建。术后，患者出现III型内漏并得到处理。三腔技术已被提议用于治疗复杂的主动脉弓病变，与开放手术相比，仍是一种侵入性较小的选择。
