Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota; Division of Cardiovascular Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Ann Thorac Surg. 2021 Jul;112(1):e27-e31. doi: 10.1016/j.athoracsur.2020.04.120. Epub 2020 Jun 17.
Endovascular repair has been introduced to decrease the morbidity and mortality associated with open surgical repair of aortic arch pathology. This case illustrates a 71-year-old male patient with an asymptomatic saccular aortic arch aneurysm treated by total endovascular aortic repair using 3-vessel inner branch stent graft. Postoperative course was unremarkable, and the patient was discharge home on postoperative day 3. Total endovascular aortic arch repair is a suitable alternative in higher-risk patients with aortic arch aneurysms who are not ideally suited for open surgical repair.
腔内修复术的引入降低了与升主动脉病变的开放性手术修复相关的发病率和死亡率。本病例介绍了一名 71 岁男性患者,他无症状的升主动脉囊状动脉瘤采用 3 分支腔内分支支架进行完全腔内主动脉修复术。术后过程无异常,患者于术后第 3 天出院回家。对于不适合开放性手术修复的高危升主动脉瘤患者,完全腔内主动脉弓修复术是一种合适的替代方法。