Hayashi Kanako, Kimura Naritaka, Ohno Masatoshi, Yamashita Kentaro, Izumida Hiroaki, Inaba Yu, Takahashi Tatsuo, Yamazaki Masataka, Ito Tsutomu, Shimizu Hideyuki
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Ann Vasc Dis. 2018 Dec 25;11(4):549-552. doi: 10.3400/avd.cr.18-00079.
Here we describe the case of a 33-year-old woman who was diagnosed with interrupted aortic arch (IAA) type A and who underwent radical surgery in her infancy. She developed a 42-mm anastomotic pseudoaneurysm in the distal aortic arch. We decided to perform thoracic endovascular aortic repair because of the patient's special request to avoid open surgery. We selected a reversed taper-type leg stent graft for the iliac artery and successfully implanted it without problems. However, the long-term outcomes of the stent graft in young people remain unclear, and careful regular follow-up for a long period is mandatory.
在此，我们描述一名33岁女性的病例，她在婴儿期被诊断为A型主动脉弓中断（IAA），并接受了根治性手术。她在主动脉弓远端出现了一个42毫米的吻合口假性动脉瘤。由于患者特别要求避免开腹手术，我们决定进行胸段血管腔内主动脉修复术。我们为髂动脉选择了一种逆向锥形腿支架移植物，并成功植入，没有出现问题。然而，支架移植物在年轻人中的长期疗效仍不明确，必须进行长期仔细的定期随访。
