Zha Bin-Shan, Zhu Hua-Gang, Ye Yu-Sheng, Li Yong-Sheng, Zhang Zhi-Gong, Xie Wen-Tao
Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, No. 218 Jixi Road, Hefei, 230022, Anhui, People's Republic of China.
Cardiovasc Intervent Radiol. 2017 Mar;40(3):455-459. doi: 10.1007/s00270-016-1477-0. Epub 2016 Oct 28.
Thoracic aortic aneurysms are now routinely repaired with endovascular repair if anatomically feasible because of advantages in safety and recovery. However, intraoperative aneurysm rupture is a severe complication which may have an adverse effect on the outcome of treatment. Comprehensive preoperative assessment and considerate treatment are keys to success of endovascular aneurysm repair, especially during unexpected circumstances. Few cases have reported on intraoperative aortic rupture, which were successfully managed by endovascular treatment. Here, we present a rare case of an intraoperative aneurysm rupture during endovascular repair of thoracic aortic aneurysm with narrow neck and angulated aorta arch (coarctation-associated aneurysm), which was successfully treated using double access route approach and iliac limbs of infrarenal devices.
Level 5.
由于在安全性和恢复方面的优势，对于解剖结构可行的胸主动脉瘤，现在通常采用血管腔内修复术进行治疗。然而，术中动脉瘤破裂是一种严重的并发症，可能会对治疗结果产生不利影响。全面的术前评估和周到的治疗是血管腔内动脉瘤修复术成功的关键，尤其是在意外情况下。很少有术中主动脉破裂的病例报道，这些病例通过血管腔内治疗成功处理。在此，我们报告一例罕见的在胸主动脉瘤血管腔内修复术中发生的动脉瘤破裂病例，该动脉瘤颈部狭窄且主动脉弓呈角状（与缩窄相关的动脉瘤），采用双入路方法和肾下装置的髂支成功治疗。
5级。
