经心尖入路行胸主动脉腔内修复术治疗胸主动脉破裂。
Thoracic Endovascular Aortic Repair Through Cardiac Apex in the Setting of Thoracic Aortic Rupture.
机构信息
Department of Cardiac Surgery, Parma General Hospital, Parma, Italy.
Department of Cardiac Surgery, Parma General Hospital, Parma, Italy; Aortic Institute at Yale-New Haven, Yale University School of Medicine, New Haven, Connecticut.
出版信息
Ann Thorac Surg. 2018 Oct;106(4):e177-e178. doi: 10.1016/j.athoracsur.2018.03.040. Epub 2018 Apr 21.
Treatment of thoracic aortic rupture poses a substantial challenge for the aortic surgeon. The advent of thoracic endovascular aortic repair (TEVAR) revolutionized the treatment of this heterogeneous group of diseases. Some patients suitable for TEVAR, however, present severe peripheral vascular diseases that can prevent standard retrograde delivery of the stent graft through the femoral artery. In this report, we present a case series of 5 patients with thoracic aortic rupture successfully treated with cardiac transapical TEVAR.
胸主动脉破裂的治疗对主动脉外科医生来说是一个巨大的挑战。胸主动脉腔内修复术（TEVAR）的出现彻底改变了这组异质性疾病的治疗方法。然而，一些适合 TEVAR 的患者存在严重的外周血管疾病，这可能会阻碍支架移植物通过股动脉逆行标准输送。在本报告中，我们介绍了 5 例经心尖 TEVAR 成功治疗的胸主动脉破裂患者的病例系列。
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