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胸降主动脉瘤破裂的腔内修复术：病例报告

TEVAR for ruptured descending thoracic aortic aneurysm: case report.

作者信息

Gabriel Sthefano Atique, Rinaldi Enrico, Leopardi Marco, Melissano Germano, Chiesa Roberto

机构信息

Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Fellow of Advanced Aortic Surgery, Milan, Italy.

Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Vascular Surgery, Milan, Italy.

出版信息

J Vasc Bras. 2016 Oct-Dec;15(4):322-327. doi: 10.1590/1677-5449.006716.

DOI:10.1590/1677-5449.006716
PMID:29930612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5829733/
Abstract

A ruptured descending thoracic aortic aneurysm (rDTAA) is a life-threatening condition associated with high morbidity and mortality. Endovascular treatment for rDTAA promotes effective aneurysm exclusion with a minimally invasive approach. The authors report a case of a 76-year-old man with hemodynamically unstable 9-cm-diameter rDTAA treated with emergency thoracic endovascular aortic repair (TEVAR).

摘要

降主动脉瘤破裂（rDTAA）是一种危及生命的疾病，具有高发病率和死亡率。rDTAA的血管内治疗通过微创方法促进有效的动脉瘤隔绝。作者报告了一例76岁男性患者，其患有直径9厘米的血流动力学不稳定的rDTAA，接受了急诊胸主动脉腔内修复术（TEVAR）治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/2919db98382c/jvb-15-04-322-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/ee8abe741d8a/jvb-15-04-322-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/ccb98555c39f/jvb-15-04-322-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/f575825130ed/jvb-15-04-322-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/5da008193a7a/jvb-15-04-322-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/2919db98382c/jvb-15-04-322-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/ee8abe741d8a/jvb-15-04-322-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/ccb98555c39f/jvb-15-04-322-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/f575825130ed/jvb-15-04-322-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/5da008193a7a/jvb-15-04-322-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d481/5829733/2919db98382c/jvb-15-04-322-g05.jpg

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本文引用的文献

1
Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm.降主动脉瘤破裂血管内修复的早期经验
Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):73-9. doi: 10.5090/kjtcs.2016.49.2.73. Epub 2016 Apr 5.
2
Hemothorax Management After Endovascular Treatment For Thoracic Aortic Rupture.胸主动脉破裂血管内治疗后的血胸处理
Eur J Vasc Endovasc Surg. 2015 Nov;50(5):608-13. doi: 10.1016/j.ejvs.2015.07.039. Epub 2015 Sep 8.
3
Thoracic endovascular aortic repair for ruptured descending thoracic aortic aneurysm.
胸段降主动脉瘤破裂的胸段血管腔内主动脉修复术。
J Card Surg. 2015 Feb;30(2):163-9. doi: 10.1111/jocs.12499. Epub 2014 Dec 29.
4
Endovascular treatment for nontraumatic rupture of the descending thoracic aorta: long-term results.胸降主动脉非创伤性破裂的血管内治疗：长期结果
J Card Surg. 2014 May;29(3):353-8. doi: 10.1111/jocs.12329.
5
Surgical and anesthetic considerations for the endovascular treatment of ruptured descending thoracic aortic aneurysms.胸主动脉夹层动脉瘤腔内治疗的手术和麻醉注意事项。
Curr Opin Anaesthesiol. 2014 Feb;27(1):12-20. doi: 10.1097/ACO.0000000000000028.
6
Risk factors for post-traumatic pneumonia in patients with retained haemothorax: results of a prospective, observational AAST study.创伤性血胸患者发生创伤后肺炎的危险因素：前瞻性观察 AAST 研究结果。
Injury. 2013 Sep;44(9):1159-64. doi: 10.1016/j.injury.2013.01.032. Epub 2013 Feb 19.
7
Neurological complications of thoracic endovascular aortic repair.胸主动脉腔内修复术的神经系统并发症
Semin Cardiothorac Vasc Anesth. 2011 Dec;15(4):123-40. doi: 10.1177/1089253211424224. Epub 2011 Oct 24.
8
Endovascular repair of complicated acute type-B aortic dissection with stentgraft: early and mid-term results.腔内修复复杂急性 B 型主动脉夹层的支架移植物：早期和中期结果。
Eur J Vasc Endovasc Surg. 2011 Oct;42(4):448-53. doi: 10.1016/j.ejvs.2011.05.013.
9
Open surgery versus endovascular repair of ruptured thoracic aortic aneurysms.开放性手术与血管内修复破裂性胸主动脉瘤。
J Vasc Surg. 2011 May;53(5):1210-6. doi: 10.1016/j.jvs.2010.10.135. Epub 2011 Feb 5.
10
Management of diseases of the descending thoracic aorta in the endovascular era: a Medicare population study.腔内时代降胸主动脉疾病的管理：医疗保险人群研究。
Ann Surg. 2010 Oct;252(4):603-10. doi: 10.1097/SLA.0b013e3181f4eaef.