Liu Mingyuan, Wang Haofu
Peking University Health Science Center and Department of Vascular Surgery, Peking University People's Hospital, Beijing, The People's Republic of China.
Division of surgery, The medical school of Qingdao University, Department of Vascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, P.R. China.
SAGE Open Med Case Rep. 2016 May 18;4:2050313X16646526. doi: 10.1177/2050313X16646526. eCollection 2016.
Although endovascular aneurysm repair of aorto-caval fistula offers a safe and efficient approach compared to traditional open repair, endovascular techniques for the treatment of aorto-caval fistula with ruptured abdominal aortic aneurysms in emergency circumstance are not well established. This study aims to evaluate the effect of endovascular repair of aorto-caval fistula of a patient with ruptured abdominal aortic aneurysm and hostile anatomy.
we report a case of an aorto-caval fistula endovascular repaired in a 78-year-old male using a hybrid stent-graft technique.
The patient had an uneventful recovery and CTA follow up showed no sign of ACF or any endoleak.
This case highlights ACF might be managed by composite endograft implantation with careful and solid sealing of anchoring zones on the two sides.
尽管与传统开放修复相比，主动脉腔静脉瘘的血管腔内动脉瘤修复提供了一种安全有效的方法，但在紧急情况下，用于治疗伴有破裂腹主动脉瘤的主动脉腔静脉瘘的血管腔内技术尚未得到充分确立。本研究旨在评估血管腔内修复对一名伴有破裂腹主动脉瘤且解剖结构复杂的患者的主动脉腔静脉瘘的治疗效果。
我们报告了一例采用混合支架移植物技术对一名78岁男性进行血管腔内修复主动脉腔静脉瘘的病例。
患者恢复顺利，CTA随访显示无主动脉腔静脉瘘迹象或任何内漏。
该病例表明，通过复合移植物植入并仔细、牢固地密封两侧的锚定区，可能对主动脉腔静脉瘘进行治疗。
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