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经皮开窗血管腔内主动脉移植物治疗穿透性创伤继发主动脉假性动脉瘤并主动脉腔静脉瘘。

Percutaneous fenestrated endovascular aortic graft treatment of aortocaval fistula with aortic pseudoaneurysms secondary to penetrating trauma.

作者信息

Blumberg Sheila N, Mussa Firas F, Maldonado Thomas S

机构信息

Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY.

Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY.

出版信息

J Vasc Surg. 2017 Sep;66(3):906-909. doi: 10.1016/j.jvs.2016.12.138. Epub 2017 Mar 30.

DOI:10.1016/j.jvs.2016.12.138
PMID:28366308
Abstract

Aortocaval fistula (ACF) is a lethal complication of aortic aneurysmal disease. Traditional treatment of ACF involves open surgical approaches to fistula ligation and repair of the great vessels, with a high mortality secondary to bleeding and cardiac compromise. We present the case of a 28-year-old man with a chronic ACF with concomitant aortic pseudoaneurysms secondary to penetrating trauma treated with a fenestrated endograft.

摘要

主动脉腔静脉瘘（ACF）是主动脉瘤疾病的一种致命并发症。ACF的传统治疗方法包括通过开放手术结扎瘘管并修复大血管，因出血和心脏功能受损导致死亡率很高。我们报告一例28岁男性慢性ACF患者，其伴有穿透性创伤继发的主动脉假性动脉瘤，采用开窗型腔内移植物进行治疗。

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