Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China; National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ann Thorac Surg. 2020 Sep;110(3):e217-e219. doi: 10.1016/j.athoracsur.2019.12.070. Epub 2020 Feb 12.
Total endovascular repair remains challenging for Kommerell diverticulum with chronic type A aortic dissection. We reported the first total endovascular repair for a Kommerell diverticulum with chronic retrograde type A aortic dissection. We conducted total endovascular repair with a unibody, single-branched, stent-graft combined with the chimney technique for reconstruction of both subclavian arteries. Completion angiography showed complete exclusion of the primary entry tear without endoleak and patency of all stent-grafts, and computed tomographic angiography at follow-up showed significant remodeling of the false lumen. In this case we show that total endovascular repair is feasible and safe in selective patients of this kind.
累及 Kommerell 憩室的慢性 Stanford A 型主动脉夹层的全腔内修复仍然具有挑战性。我们报告首例累及 Kommerell 憩室的慢性逆行性 Stanford A 型主动脉夹层的全腔内修复。我们采用一体式、单分支、覆膜支架结合烟囱技术完成了全腔内修复，重建了双侧锁骨下动脉。完成造影显示原发破口完全隔绝，无内漏，所有覆膜支架通畅，随访 CT 血管造影显示假腔明显重塑。在这种情况下，我们证明了在这种选择性患者中，全腔内修复是可行和安全的。
