Won Jongyun, Jung Jae Seung, Lee Jun Hee, Jung Young Ki, Son Ho Sung
Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Korean J Thorac Cardiovasc Surg. 2020 Dec 5;53(6):411-413. doi: 10.5090/kjtcs.20.010.
A 34-year-old man who had undergone aortic valve replacement 8 years ago underwent an additional Bentall operation due to mechanical valve dehiscence 2 years later. Subsequently, he was diagnosed with Behçet disease and Batter syndrome. A week after being hospitalized again due to chest pain and dyspnea, a large pseudo-aneurysm was detected on computed tomography. Because of the excessively large size of the pseudo-aneurysm, surgical treatment seemed very risky. Therefore, we planned to perform thoracic endovascular aortic repair (TEVAR) and treated him successfully. However, the patient experienced recurrence of the same symptoms 4 months later, and was found to have type IV endoleak. He received a TEVAR procedure again, and it was successful.
一名34岁男性8年前接受了主动脉瓣置换术，2年后因机械瓣膜裂开又接受了一次Bentall手术。随后，他被诊断出患有白塞病和巴特综合征。因胸痛和呼吸困难再次住院一周后，计算机断层扫描发现一个巨大的假性动脉瘤。由于假性动脉瘤尺寸过大，手术治疗风险极高。因此，我们计划进行胸主动脉腔内修复术（TEVAR）并成功治疗了他。然而，患者4个月后出现相同症状复发，被发现存在IV型内漏。他再次接受了TEVAR手术，手术成功。
