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胸腹主动脉置换术后肋间补片动脉瘤的杂交胸腔内血管腔内主动脉修复术

Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement.

作者信息

Kitahara Hiroto, Yoshitake Akihiro, Hachiya Takashi, Okamoto Kazuma, Hirano Akinori, Kasai Mio, Akamatsu Yuta, Oka Hidetoshi, Shimizu Hideyuki

机构信息

Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.

出版信息

Ann Vasc Dis. 2015;8(4):340-2. doi: 10.3400/avd.cr.15-00108. Epub 2015 Nov 27.

DOI:10.3400/avd.cr.15-00108
PMID:26730265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4691514/
Abstract

We report a case of hybrid thoracic endovascular aortic repair for intercostal patch aneurysm after thoracoabdominal aortic replacement. Eighteen years ago, a 63-year-old woman with Marfan syndrome had undergone thoracoabdominal aortic replacement with reimplantation of the intercostal artery in an island fashion. Follow-up computed tomography (CT) revealed a remaining intercostal patch aneurysm of diameter 60 mm 17 years after the last operation. Hybrid thoracic endovascular aortic repair for exclusion of this intercostal patch aneurysm was successfully performed, with visceral artery bypasses. Postoperative CT showed no anastomotic stenosis or endoleak.

摘要

我们报告1例胸腹主动脉置换术后肋间补片动脉瘤的杂交胸主动脉腔内修复术。18年前，一名63岁的马凡综合征女性接受了胸腹主动脉置换术，并以岛状方式重新植入肋间动脉。随访计算机断层扫描（CT）显示，上次手术后17年，仍存在直径60 mm的肋间补片动脉瘤。成功实施了杂交胸主动脉腔内修复术以排除该肋间补片动脉瘤，并进行了内脏动脉旁路移植。术后CT显示无吻合口狭窄或内漏。

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本文引用的文献

1
Results of open thoracoabdominal aortic aneurysm repair.
Ann Cardiothorac Surg. 2012 Sep;1(3):286-92. doi: 10.3978/j.issn.2225-319X.2012.08.16.
2
Stent graft repair of paraanastomotic aneurysms after open descending thoracic and thoracoabdominal aortic aneurysm repair.
Ann Vasc Surg. 2013 Aug;27(6):693-8. doi: 10.1016/j.avsg.2012.07.023. Epub 2013 Mar 26.
3
Endovascular exclusion of patch aneurysms of intercostal arteries after thoracoabdominal aortic aneurysm repair.
Ann Thorac Surg. 2013 Feb;95(2):720-2. doi: 10.1016/j.athoracsur.2012.09.058.
4
Incidence and management of intercostal patch aneurysms after repair of thoracoabdominal aortic aneurysms.
J Thorac Cardiovasc Surg. 2009 Aug;138(2):352-8. doi: 10.1016/j.jtcvs.2009.01.005. Epub 2009 Mar 9.
5
Spinal cord ischemia may be reduced via a novel technique of intercostal artery revascularization during open thoracoabdominal aneurysm repair.
J Vasc Surg. 2007 Sep;46(3):421-6. doi: 10.1016/j.jvs.2007.04.048. Epub 2007 Jul 30.

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