Zhu Yuanjia, Roselli Eric E, Idrees Jay J, Kapadia Samir, Svensson Lars G
Aortic Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Aorta (Stamford). 2016 Oct 1;4(5):175-177. doi: 10.12945/j.aorta.2016.16.030. eCollection 2016 Oct.
An 83-year-old male with multiple comorbidities presented with critical aortic stenosis and a saccular aortic arch aneurysm. Through a mini thoracotomy, a balloon expandable transcatheter aortic valve was delivered transapically. A thoracic stent graft was then delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery. Three-year postoperative computed tomography showed a thrombosed arch aneurysm with decreased size. This case demonstrates the feasibility of using combined transapical transcatheter technologies to treat multicomponent disease in a high-risk patient during a single operation.
一名患有多种合并症的83岁男性，因严重主动脉瓣狭窄和囊状主动脉弓动脉瘤前来就诊。通过小切口开胸手术，经心尖植入了一枚球囊扩张式经导管主动脉瓣。随后，通过人工瓣膜输送一枚胸主动脉覆膜支架并在主动脉弓展开，同时在左颈总动脉植入一枚覆膜支架。术后三年的计算机断层扫描显示，主动脉弓动脉瘤内血栓形成，且尺寸缩小。该病例证明了在一次手术中使用经心尖联合经导管技术治疗高危患者多部位疾病的可行性。
