Terry C, Yazar O, Heye S, Fourneau I
Department of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Acta Chir Belg. 2015 Jul-Aug;115(4):314-6. doi: 10.1080/00015458.2015.11681119.
TEVAR has replaced open surgical repair as preferred treatment for complicated acute type B aortic dissection. But the literature on thoracic endovascular aortic repair (TEVAR) for ruptured type B dissection is scarce. Patients with Turner syndrome are at risk for aortic dissection and rupture at a young age with an immediate mortality rate of 63%. Only a few cases have been described and the best treatment is not yet established. We present a case of a 49 year-old woman with Turner syndrome who suffered from a ruptured aortic dissection Stanford type B. A TEVAR procedure was performed, but the life of the patient could not be saved. In this case report we discuss the lessons we learned as well as some unsolved questions about TEVAR for ruptured type B aortic dissection.
胸主动脉腔内修复术（TEVAR）已取代开放性手术修复，成为复杂急性B型主动脉夹层的首选治疗方法。但关于破裂性B型夹层的胸主动脉腔内修复术（TEVAR）的文献较少。特纳综合征患者在年轻时有发生主动脉夹层和破裂的风险，即时死亡率为63%。仅报道过少数病例，最佳治疗方法尚未确立。我们报告一例49岁患有特纳综合征的女性，她发生了斯坦福B型主动脉夹层破裂。实施了TEVAR手术，但患者未能挽救生命。在本病例报告中，我们讨论了所吸取的经验教训以及关于破裂性B型主动脉夹层TEVAR的一些未解决问题。
