Alvarez García Lucas, Vidal Fernández Paula, García Gimeno Miguel Felipe, González Arranz Miguel Angel, González González Maria Emma, López García Diego, Tagarro Villalba Salvador, Rodríguez Camarero Santiago
Department of Angiology and Vascular/Endovascular Surgery, San Pedro Hospital, Logroño, La Rioja, Spain.
J Thorac Dis. 2017 May;9(Suppl 6):S544-S546. doi: 10.21037/jtd.2017.04.20.
We report a 78-year-old man who presents progression of his aneurysmatic pathology with previous abdominal infrarenal aortic surgery 20 years later. The computed tomography (CT) scan showed proximal degeneration of the infrarenal aorta, left iliac aneurysm and a new descending thoracic aneurysm close to the aortic arch. The surgical treatment was staged in two times due to the evolution of the aneurysm measures. First, the thoracic and the infrarenal aneurysms were covered each one with endoprosthesis. Four years later the iliac disease was solved with a branched specific iliac endograft.
我们报告了一名78岁男性,其在20年前接受腹主动脉肾下手术,术后动脉瘤病变仍有进展。计算机断层扫描(CT)显示肾下主动脉近端退变、左髂动脉瘤以及靠近主动脉弓处新出现的降主动脉瘤。由于动脉瘤大小的变化,手术分两期进行。首先,分别用血管内支架覆盖胸段和肾下段动脉瘤。四年后,采用分支型特异性髂血管内移植物解决了髂部病变。