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主动脉弓中断的血管内修复:有望减少并发症的治疗方法。

Endovascular Repair of Interrupted Aortic Arch: Approach with Hope for Fewer Complications.

作者信息

Firouzi Ata, Mohebbi Bahram, Shafiei Ali

机构信息

Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Iran Med. 2017 Dec 23;20(12):756-759.

Abstract

Interrupted aortic arch (IAA) is a rare congenital malformation defined as complete discontinuity between ascending and descending parts of aorta. We present a case of IAA, which was referred to us due to dilatation of proximal and mid parts of his thoracic aorta accompanied by narrowing of aorta proximal to the branching of the left subclavian artery. Further evaluation revealed interruption of aorta at the proximal part of descending thoracic aorta by a transverse septum along with several collateral formations. In general, the standard treatment of IAA is open surgical repair. Endovascular repair of IAA is an alternative approach for IAA, which is applied when two distinct parts of aorta are too close to each other. Here, we present a new approach of endovascular transcatheter repair of IAA with implantation of a self-expandable stent that we believe has fewer complications.

摘要

主动脉弓中断(IAA)是一种罕见的先天性畸形,定义为升主动脉和降主动脉之间完全不连续。我们报告一例IAA病例,该患者因胸主动脉近端和中段扩张,同时左锁骨下动脉分支近端主动脉狭窄而转诊至我院。进一步评估发现,降主动脉近端被一个横向隔膜中断,同时伴有多个侧支形成。一般来说,IAA的标准治疗方法是开放手术修复。IAA的血管内修复是一种替代方法,当主动脉的两个不同部分彼此过于靠近时应用。在此,我们介绍一种血管内导管修复IAA的新方法,即植入自膨胀支架,我们认为该方法并发症较少。

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