Park Kyu-Hwan, Kim Ung
Heart Lung Circ. 2016 Mar;25(3):e48-52. doi: 10.1016/j.hlc.2015.08.020.
Endovascular aneurysm repair has become a standard treatment for abdominal aortic aneurysm (AAA). However a severely angulated aneurysmal neck is one of the most common anatomical limitations of endovascular repair, and is associated with poor outcomes. We successfully treated a patient who had an abdominal aortic aneurysm with a severely angulated aortic neck using kilt technique with thoracic stent graft. The technique might be an excellent alternative strategy to overcome anatomical obstacles like a hostile aortic neck.
血管内动脉瘤修复术已成为腹主动脉瘤（AAA）的标准治疗方法。然而，严重成角的动脉瘤颈部是血管内修复最常见的解剖学限制之一，且与不良预后相关。我们成功地使用带胸廓支架移植物的束腰技术治疗了一名患有严重成角主动脉颈部的腹主动脉瘤患者。该技术可能是克服诸如不利主动脉颈部等解剖学障碍的极佳替代策略。
