Komooka Masatoshi, Higashiue Shinichi, Kuroyanagi Satoshi, Furuya Onichi, Naito Shiho, Kojima Saburo
Department of cardiovascular surgery, Kishiwada Tokusyukai Hospital, Kishiwada, Osaka, Japan.
Ann Vasc Dis. 2015;8(1):59-61. doi: 10.3400/avd.cr.14-00123. Epub 2015 Mar 25.
This report describes a hybrid endovascular approach to a 9.3-cm saccular aneurysm of the left sided aortic arch combined with an aberrant right subclavian artery. The two-step procedure consisted of a bilateral carotid-subclavian bypass, followed by an ascending aorta-bicarotid bypass and completed by an endovascular exclusion of the aneurysm by covering the whole aortic arch and its branches. The patient had no postoperative complications and was discharged 10 postoperative day. Hybrid procedures may be useful in complex aortic arch pathologies and may reduce postoperative complications in comparison with conventional open surgery.
本报告描述了一种治疗左侧主动脉弓合并迷走右锁骨下动脉的9.3厘米囊状动脉瘤的杂交血管内治疗方法。该两步手术包括双侧颈动脉-锁骨下动脉搭桥，随后进行升主动脉-双侧颈动脉搭桥，最后通过覆盖整个主动脉弓及其分支对动脉瘤进行血管内封堵。患者术后无并发症，术后第10天出院。与传统开放手术相比，杂交手术可能对复杂的主动脉弓病变有用，并可能减少术后并发症。
