Toya Naoki, Ohki Takao, Fukushima Soichiro, Shukuzawa Kota, Ito Eisaku, Akiba Tadashi
Division of Vascular Surgery, Department of Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
J Vasc Surg Cases Innov Tech. 2018 Apr 27;4(2):148-151. doi: 10.1016/j.jvscit.2018.01.011. eCollection 2018 Jun.
We describe the case of a 74-year-old man with a thoracic aortic aneurysm with a bovine arch who underwent fenestrated endovascular repair of aortic arch aneurysm using the Najuta stent graft (Kawasumi Laboratories, Inc, Tokyo, Japan). He has had a previous endovascular aneurysm repair and femoropopliteal bypass for abdominal aortic aneurysm combined with peripheral arterial disease. The Najuta stent graft was inserted and deployed at zone 0 with delicate positional adjustment of the fenestration of the stent graft to the brachiocephalic trunk. There was no endoleak or complication. His postoperative course was uneventful. At 7-month follow-up, complete exclusion of the aneurysm was noted. The Najuta stent graft repair of aortic arch aneurysms is a safe and effective treatment option for patients with a bovine arch.
我们描述了一名74岁男性患者的病例，该患者患有带牛型主动脉弓的胸主动脉瘤，使用Najuta覆膜支架（日本东京河合制作所）对主动脉弓瘤进行了开窗式血管腔内修复术。他此前曾接受过腹主动脉瘤的血管腔内动脉瘤修复术以及股腘动脉旁路移植术，合并周围动脉疾病。Najuta覆膜支架被插入并部署在0区，将支架覆膜的开窗精细调整至头臂干。未发生内漏或并发症。他的术后病程平稳。在7个月的随访中，发现动脉瘤完全被隔绝。对于牛型主动脉弓患者，Najuta覆膜支架修复主动脉弓瘤是一种安全有效的治疗选择。
