Shingaki Masami, Kato Masaaki, Motoki Manabu, Kubo Yoji, Isaji Toshihiko, Okubo Nobukazu
Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan
Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
Asian Cardiovasc Thorac Ann. 2016 Oct;24(8):805-807. doi: 10.1177/0218492316669644. Epub 2016 Sep 15.
An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent graft, without any complications due to the careful preoperative examinations.
一名86岁患有腹主动脉瘤的男性被诊断为B型主动脉夹层，伴有一个通畅的假腔，该假腔起自胸主动脉远端弓部，止于左髂总动脉。细致的术前评估发现降主动脉、腹主动脉瘤和左髂总动脉有3处大的内膜撕裂。我们进行了一期胸腹部血管腔内动脉瘤修复术并同期行腋-腋旁路移植术。通过一期血管腔内支架植入术成功治疗了伴有B型主动脉夹层的腹主动脉瘤，由于术前检查仔细，未出现任何并发症。
