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成人术后缩窄性假性动脉瘤血管腔内修复术中主动脉破裂：紧急植入挽救生命的覆膜支架。

Aortic rupture during endovascular repair of a postoperative coarctation pseudoaneurysm in an adult: Emergency lifesaving stent graft implantation.

作者信息

Kratimenos Theodoros, Patris Vasileios, Baikoussis Nikolaos G, Tomais Dimitrios, Samiotis Ilias, Argiriou Michalis

机构信息

Department of Radiology, Interventional Radiology Unit, Evangelismos General Hospital of Athens, Athens, Greece.

Department of Cardiac Surgery, Evangelismos General Hospital of Athens, Athens, Greece.

出版信息

Ann Card Anaesth. 2019 Apr-Jun;22(2):225-228. doi: 10.4103/aca.ACA_36_18.

DOI:10.4103/aca.ACA_36_18
PMID:30971610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6489404/
Abstract

We present a case with aortic rupture during an operation of thoracic endovascular aortic repair of an anastomotic pseudoaneurysm. This happened after the use of a low-pressure remodeling balloon inside the covered part of the deployed endografts. It was successfully treated with a second more centrally in the aortic arch-implanted endograft with full coverage of the left subclavian artery orifice. This patient had a history of surgically operated aortic coarctation.

摘要

我们报告一例在胸主动脉腔内修复吻合口假性动脉瘤手术过程中发生主动脉破裂的病例。这发生在已植入的覆膜支架移植物覆盖部分内使用低压重塑球囊之后。通过在主动脉弓更中心位置植入第二个完全覆盖左锁骨下动脉开口的支架移植物成功治疗了该病例。该患者有主动脉缩窄手术史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/dea03eb8e05b/ACA-22-225-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/9e219298981f/ACA-22-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/3fd6b1bd4529/ACA-22-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/18e13f179778/ACA-22-225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/902ea986e7b3/ACA-22-225-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/714d90dcfc9b/ACA-22-225-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/dea03eb8e05b/ACA-22-225-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/9e219298981f/ACA-22-225-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/3fd6b1bd4529/ACA-22-225-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/18e13f179778/ACA-22-225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/902ea986e7b3/ACA-22-225-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/714d90dcfc9b/ACA-22-225-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5438/6489404/dea03eb8e05b/ACA-22-225-g006.jpg

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本文引用的文献

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Aortic rupture during stenting for recurrent aortic coarctation in an adult: live-saving, emergency, NuDEL all-in-one covered stent implantation.成人复发性主动脉缩窄支架置入术中主动脉破裂：挽救生命的紧急全覆膜一体化NuDEL支架植入术
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Role of endovascular repair in the management of late pseudo-aneurysms following open surgery for aortic coarctation.
血管内修复在主动脉缩窄开放手术后迟发性假性动脉瘤治疗中的作用。
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