Murakami Takashi, Kishimoto Noriaki, Sohgawa Etsuji, Shibata Toshihiko
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Eur J Cardiothorac Surg. 2020 Feb 1;57(2):406-408. doi: 10.1093/ejcts/ezz223.
A 76-year-old man presented with an aortic arch aneurysm and was considered a candidate for endovascular aortic arch repair by in situ fenestration. Alternative access routes were explored because of atherosclerotic disease of the descending aorta and bilateral carotid arteries. Transapical deployment of both an aortic and a branched stent grafts was successfully conducted without cerebral complications. The transapical access might have the potential to reduce the risks of complications related to large bore-sheath insertion to the carotid arteries.
一名76岁男性因主动脉弓动脉瘤就诊，被认为是原位开窗法进行血管腔内主动脉弓修复的候选者。由于降主动脉和双侧颈动脉存在动脉粥样硬化疾病，因此探索了其他入路途径。成功地经心尖植入了主动脉和分支型覆膜支架，未出现脑部并发症。经心尖入路可能有降低与大口径鞘管插入颈动脉相关并发症风险的潜力。
