经右锁骨下动脉再入撕裂成功进行栓塞治疗，以治疗A型夹层修复术后形成的主动脉弓真性假腔。
Successful Embolization Therapy through Reentry Tear in the Right Subclavian Artery for Treating Patent False Lumen in the Aortic Arch Formed after Type A Dissection Repair.
作者信息
Ishii Hirohito, Nakamura Kunihide, Nakamura Eisaku, Furukawa Koji, Ochiai Kouichiro
机构信息
Division of Cardiovascular Surgery, Department of Surgery, University of Miyazaki, Miyazaki, Japan.
出版信息
Ann Vasc Dis. 2017 Sep 25;10(3):261-4. doi: 10.3400/avd.cr.17-00009.
Abstract
A 73-year-old woman had undergone hemiarch replacement with primary entry resection for treating acute type A dissection 6 years ago. Postoperative computed tomography (CT) showed a patent false lumen (FL) in the aortic arch and a reentry tear in the right subclavian artery. The remaining aortic arch enlarged, which resulted in formation of a 55-mm-diameter aneurysm. We performed reentry occlusion using embolization with glue and coil. The patient's clinical course after the procedure was uneventful, and subsequent CT showed that FL was thrombosed and had decreased in size.
摘要
一名73岁女性6年前因治疗急性A型主动脉夹层接受了半弓置换及原发破口切除术。术后计算机断层扫描（CT）显示主动脉弓部存在通畅的假腔（FL），右锁骨下动脉有再入口撕裂。剩余的主动脉弓扩大，形成了一个直径55毫米的动脉瘤。我们使用胶水和弹簧圈栓塞术进行再入口封堵。术后患者临床过程平稳，随后的CT显示假腔血栓形成且尺寸减小。
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