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右心外路径重建弓部治疗感染性胸主动脉夹层瘤

Explantation of an Infected TEVAR With an Extra-Anatomic Arch Reconstruction Along the Right Heart.

机构信息

Division of Cardiothoracic Surgery, Stony Brook University Hospital, Stony Brook, New York.

Division of Vascular Surgery, Stony Brook University Hospital, Stony Brook, New York.

出版信息

Ann Thorac Surg. 2020 Nov;110(5):e357-e359. doi: 10.1016/j.athoracsur.2020.03.079. Epub 2020 May 4.

DOI:10.1016/j.athoracsur.2020.03.079
PMID:32376348
Abstract

This case represents the disease progression and workup of an infected thoracic endovascular aortic repair (TEVAR) graft that initially manifested as an aortic arch pseudoaneurysm. The patient underwent a 2-stage operation to resect the infected TEVAR and to reconstruct flow via an extra-anatomic aortic bypass paralleling the right heart. This is one of the few documented cases of TEVAR explantation with an extra-anatomic aortic bypass to re-establish flow.

摘要

本病例代表了感染性胸主动脉腔内修复术（TEVAR）移植物疾病的进展和检查，该移植物最初表现为主动脉弓假性动脉瘤。患者接受了 2 期手术，切除感染的 TEVAR 并通过并行于右心的解剖外主动脉旁路重建血流。这是少数几例记录在案的 TEVAR 切除并建立解剖外主动脉旁路以恢复血流的病例之一。

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