Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Ann Thorac Surg. 2021 May;111(5):e323-e327. doi: 10.1016/j.athoracsur.2020.07.089. Epub 2020 Oct 27.
Endovascular repair of aortic arch aneurysms has been considered in higher risk patients who are not ideally suited for open surgical or hybrid repair. A limitation of these devices is the 8- to 12-week delay for manufacturing, which does not allow treatment of symptomatic or rapidly expanding aneurysms. This report illustrates an urgent endovascular repair of an aortic arch aneurysm using a physician-modified endograft with 2 inner branches. Transapical access allowed better support and precision during device deployment, which was needed given the short proximal landing zone.
腔内修复主动脉弓动脉瘤已被认为是一种较高风险的治疗方法，适用于不适合开放性手术或杂交修复的患者。这些器械的一个局限性是制造过程需要 8-12 周的时间延迟，这使得它们无法治疗有症状或快速扩张的动脉瘤。本报告介绍了一例使用医生改良的带 2 个内置分支的腔内移植物进行紧急主动脉弓动脉瘤腔内修复的病例。经心尖入路允许在器械部署过程中提供更好的支撑和精度，考虑到近端着陆区较短，这是非常必要的。
