Wong Randolph H L, Yu Peter S Y, Kwok Micky W T, Chow Simon C Y, Ho Jacky Y K, Underwood Malcolm J, Yu Simon C H
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong.
Ann Thorac Surg. 2017 Jun;103(6):e479-e482. doi: 10.1016/j.athoracsur.2016.12.039.
We describe a case of total arch replacement with frozen elephant trunk for chronic type B aortic dissecting aneurysm, which resulted in inadvertent landing of the frozen elephant trunk into the false lumen. A radiofrequency puncture system-assisted controlled endovascular fenestration of the dissection flap was performed at the upper abdominal aorta and subsequent thoracic endovascular stenting, successfully redirecting the blood flow from the false to the true lumen. Our case illustrated a possible way to seal distal reentry in chronic type B aortic dissection.
我们描述了一例采用带冰冻象鼻技术的全弓置换术治疗慢性B型主动脉夹层动脉瘤的病例，术中冰冻象鼻意外落入假腔。在腹主动脉上段采用射频穿刺系统辅助下的可控性内膜片腔内开窗术，随后行胸段血管腔内支架置入术，成功地将血流从假腔转至真腔。我们的病例展示了一种封闭慢性B型主动脉夹层远端再入口的可行方法。
