Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Department of Minimally Invasive Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, 565-0871, Osaka, Japan.
Gen Thorac Cardiovasc Surg. 2021 Jan;69(1):114-117. doi: 10.1007/s11748-020-01411-5. Epub 2020 Jun 18.
Endovascular repair can be an alternative to conventional surgery for arch and thoracoabdominal aneurysms; however, it has the limits of available stent-grafts in anatomy. We present the case of an 87-year-old woman who had dual aneurysms in the arch and thoracoabdominal regions. We considered that traditional open surgery was of extremely high risk, because she was an octogenarian and had multiple comorbidities. We successfully treated the aortic arch aneurysm and the thoracoabdominal aortic aneurysm using endovascular stent-grafts in a high-risk patient who was a poor candidate for the conventional open surgery.
腔内修复术可以作为主动脉弓和胸腹主动脉瘤的传统手术的替代方法；然而，它受到支架移植物在解剖学上的限制。我们报告了一例 87 岁的女性患者，她患有主动脉弓和胸腹主动脉区域的双重动脉瘤。我们认为传统的开放性手术风险极高，因为她是一个 80 多岁的老人，并且有多种合并症。我们成功地为一位传统开放性手术高危患者使用腔内支架移植物治疗了主动脉弓动脉瘤和胸腹主动脉瘤。
