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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.

DOI:10.3400/avd.cr.17-00009
PMID:29147154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5684153/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/d848685b7375/avd-10-3-cr.17-00009-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/a9d5c77508ef/avd-10-3-cr.17-00009-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/b6551df0089f/avd-10-3-cr.17-00009-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/d848685b7375/avd-10-3-cr.17-00009-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/a9d5c77508ef/avd-10-3-cr.17-00009-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/b6551df0089f/avd-10-3-cr.17-00009-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ba/5684153/d848685b7375/avd-10-3-cr.17-00009-figure03.jpg

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本文引用的文献

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Gen Thorac Cardiovasc Surg. 2016 Dec;64(12):722-727. doi: 10.1007/s11748-016-0691-7. Epub 2016 Aug 2.
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Hemiarch and Total Arch Surgery in Patients With Previous Repair of Acute Type I Aortic Dissection.既往急性I型主动脉夹层修复术后患者的半弓和全弓手术
Ann Thorac Surg. 2015 Sep;100(3):833-8. doi: 10.1016/j.athoracsur.2015.03.095. Epub 2015 Jun 23.
3
Reoperation for enlargement of the distal aorta after initial surgery for acute type A aortic dissection.
初次急性 A 型主动脉夹层手术后因主动脉远端扩张而行再次手术。
J Thorac Cardiovasc Surg. 2015 Feb;149(2 Suppl):S91-8.e1. doi: 10.1016/j.jtcvs.2014.08.008. Epub 2014 Aug 13.
4
Acute type A aortic dissection extending beyond ascending aorta: Limited or extensive distal repair.累及升主动脉以外的急性A型主动脉夹层:局限性或广泛性远端修复。
J Thorac Cardiovasc Surg. 2014 Sep;148(3):949-54; discussion 954. doi: 10.1016/j.jtcvs.2014.05.051. Epub 2014 May 22.
5
A case of pseudoaneurysm of the deep femoral artery successfully treated by NBCA embolization under occlusion.股深动脉假性动脉瘤成功栓塞治疗一例。
Jpn J Radiol. 2013 Aug;31(8):538-41. doi: 10.1007/s11604-013-0207-7. Epub 2013 Apr 19.
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A new classification system for branch artery perfusion patterns in acute aortic dissection for examining the effects of central aortic repair.一种新的急性主动脉夹层分支动脉灌注模式分类系统,用于研究主动脉弓修复对中心主动脉的影响。
Eur J Cardiothorac Surg. 2013 Jul;44(1):146-53. doi: 10.1093/ejcts/ezs631. Epub 2012 Dec 13.
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