Mendiz Oscar A, Fraguas Hugo, Fava Carlos M
Department of Interventional Cardiology and Cardiovascular Surgery, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.
Department of Interventional Cardiology and Cardiovascular Surgery, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.
Ann Vasc Surg. 2016 Oct;36:297.e1-297.e5. doi: 10.1016/j.avsg.2016.03.033. Epub 2016 Jul 15.
The treatment of an aortic arch aneurysm in high-risk individuals poses a significant challenge. We present a surgical patient with a patent left internal mammary artery (LIMA) graft and a large aortic arch aneurysm who underwent aortic stent-graft implantation and complete endovascular branching to preserve the LIMA inflow, with successful exclusion of the aneurysm. A moderate flow, proximal type I endoleak was observed after deployment that disappeared at 2-year follow-up.
在高危个体中治疗主动脉弓动脉瘤是一项重大挑战。我们报告了一例接受过左乳内动脉(LIMA)搭桥术且患有大型主动脉弓动脉瘤的手术患者,该患者接受了主动脉覆膜支架植入术及完全腔内分支术以保留LIMA的血流,成功排除了动脉瘤。术后观察到中度血流的近端I型内漏,在2年随访时消失。