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采用烟囱技术对合并马蹄肾的腹主动脉瘤进行血管内支架植入修复术。

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney.

作者信息

Boyacıoğlu Kamil, Ketenciler Serkan

机构信息

Department of Cardiovascular Surgery, Health Sciences University, Bağcılar Training and Research Hospital, Istanbul, Turkey.

Department of Cardiovascular Surgery, Health Sciences University, Okmeydanı Training and Research Hospital, Istanbul, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Apr 22;28(2):377-381. doi: 10.5606/tgkdc.dergisi.2020.18795. eCollection 2019 Jun.

DOI:10.5606/tgkdc.dergisi.2020.18795
PMID:32551171
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7298381/
Abstract

A 68-year-old male patient was referred to our clinic for treatment of an infrarenal abdominal aortic aneurysm. Computed tomography angiography revealed a horseshoe kidney overlying the aneurysm. The patient had an accessory renal artery arising from the anterior aspect of the aneurysm. Endovascular aneurysm repair was performed and the accessory renal artery could be revascularized successfully by chimney technique without any morbidity. Postoperative computed tomography angiography revealed complete exclusion of the aneurysm with no endoleak and a patent chimney graft.

摘要

一名68岁男性患者因治疗肾下腹主动脉瘤转诊至我院。计算机断层扫描血管造影显示马蹄肾覆盖在动脉瘤上方。该患者有一支副肾动脉起自动脉瘤前壁。进行了血管腔内动脉瘤修复术，通过烟囱技术成功地使副肾动脉重新获得血供，且未出现任何并发症。术后计算机断层扫描血管造影显示动脉瘤完全被隔绝，无内漏，烟囱移植物通畅。

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本文引用的文献

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Management and therapeutic options for abdominal aortic aneurysm coexistent with horseshoe kidney.马蹄肾合并腹主动脉瘤的管理和治疗选择。
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Impact of aortic stent-graft oversizing on outcomes of the chimney endovascular technique based on a new analysis of the PERICLES Registry.基于PERICLES注册研究的新分析：主动脉覆膜支架尺寸过大对烟囱式血管腔内技术疗效的影响
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