Venturini Joseph M, Milner Ross, Shah Atman P
Section of Cardiology, Department of Medicine, University of Chicago Medical Center, Chicago, Ill.
Section of Vascular Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Ill.
J Vasc Surg Cases Innov Tech. 2019 Jun 21;5(3):205-209. doi: 10.1016/j.jvscit.2019.03.003. eCollection 2019 Sep.
Thoracic endovascular aortic repair (TEVAR) provides an alternative to open surgery for a variety of aortic diseases. However, complex anatomy and previous operations may preclude traditional approaches to TEVAR. Percutaneous transapical access through the left ventricle is a feasible option to facilitate externalized "rail" wire support for complex TEVAR. We present the case of TEVAR for a residual type B aortic dissection facilitated by percutaneous transapical access.
胸主动脉腔内修复术（TEVAR）为多种主动脉疾病提供了开放手术的替代方案。然而，复杂的解剖结构和既往手术史可能会使传统的TEVAR方法受到限制。经皮经心尖进入左心室是一种可行的选择，有助于为复杂的TEVAR提供体外“轨道”钢丝支撑。我们报告了一例通过经皮经心尖进入行TEVAR治疗残留B型主动脉夹层的病例。
Zotero 插件
