Belmir Hicham, El Kettani Chafik, Tijani Youssef, Billah Nabil Maotassim, Chtata Hassan, Taberkant Mustapha
Vascular Surgery Department, Mohammed VI University of Health Sciences, Casablanca, Morocco.
Department of Anesthesia, Mohammed VI University of Health Sciences, Casablanca, Morocco.
J Vasc Surg Cases Innov Tech. 2020 Sep 8;6(4):516-519. doi: 10.1016/j.jvscit.2020.08.033. eCollection 2020 Dec.
We describe an hybrid approach for aortic pseudoaneurysm with open and endovascular treatment as an alternative treatment for a high-risk patient infected with human immunodeficiency virus. A 42-year-old man, serum positive for human immunodeficiency virus, presented, with a large pseudoaneurysm of the arch aorta measuring 61 × 70 mm. An aortic arch debranching was performed, completed by thoracic endovascular aneurysm repair. A control computed tomography scan performed 3 months later showed a complete thrombosis of the pseudoaneurysm. The outcome of this treatment, particularly regarding the rate of infection, is yet to be determined, Longer follow-up is needed with a greater of patients.
我们描述了一种用于主动脉假性动脉瘤的开放与血管腔内治疗相结合的方法，作为感染人类免疫缺陷病毒的高危患者的替代治疗方案。一名42岁男性，人类免疫缺陷病毒血清阳性，出现了一个大小为61×70mm的主动脉弓部大型假性动脉瘤。先进行了主动脉弓去分支手术，随后通过胸主动脉腔内修复术完成治疗。3个月后进行的计算机断层扫描显示假性动脉瘤完全血栓形成。这种治疗的结果，尤其是感染率，尚待确定，需要对更多患者进行更长时间的随访。
