Landau John H, Dubois Luc A, Chu Michael W A
Division of Vascular, Western University, London, Ontario, Canada.
Division of Cardiac Surgery, Western University, London, Ontario, Canada.
Ann Thorac Surg. 2017 Sep;104(3):e227-e229. doi: 10.1016/j.athoracsur.2017.05.003.
Aneurysms of the distal aortic arch and proximal descending thoracic aorta remain challenging to treat. Whereas thoracic endovascular aortic repair (TEVAR) with arch debranching has provided a more minimally invasive option for patients with such aneurysms, recurrent type Ia endoleaks can be difficult or impossible to treat with further endovascular intervention. We report the successful use of a hybrid arch and frozen elephant trunk graft for the treatment of a patient with a recurrent type Ia endoleak after TEVAR and arch debranching.
主动脉弓远端和胸降主动脉近端的动脉瘤治疗仍然具有挑战性。虽然采用弓部去分支技术的胸主动脉腔内修复术（TEVAR）为这类动脉瘤患者提供了一种创伤更小的选择，但Ia型内漏复发时，进一步的血管腔内干预可能难以实施或无法实施。我们报告了成功使用杂交弓和冰冻象鼻移植物治疗1例TEVAR和弓部去分支术后Ia型内漏复发患者的情况。
