Fallatah Raneem, Elasfar Abdelfatah A, Alzubaidi Shadha, Alraddadi Mazen, Abuelatta Reda
Madina Cardiac Center, Madina, Saudi Arabia.
King Abdulaziz University, Jeddah, Saudi Arabia.
J Saudi Heart Assoc. 2018 Jul;30(3):254-259. doi: 10.1016/j.jsha.2017.10.002. Epub 2017 Oct 21.
Aortic pseudoaneurysm (PsA) is a rare but serious condition that has high mortality and morbidity rates if untreated. We report a rare case of leaking aortic-arch PsA repaired by thoracic endovascular aortic repair using graft stent with the chimney technique to protect the left common carotid artery. Unlike other cases in the literature, our case was unique, having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using thoracic endovascular aortic repair combined with the chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic-arch PsA.
主动脉假性动脉瘤（PsA）是一种罕见但严重的病症，如果不进行治疗，其死亡率和发病率都很高。我们报告了一例罕见的主动脉弓PsA渗漏病例，采用带烟囱技术的移植物支架进行胸主动脉腔内修复术，以保护左颈总动脉。与文献中的其他病例不同，我们的病例很独特，其PsA渗漏与既往心脏手术或主动脉夹层无关。采用胸主动脉腔内修复术联合烟囱技术成功治疗该患者表明，这种方法可能是治疗主动脉弓PsA的一种有吸引力的治疗选择。
