Hospital Ana Nery, Aortic Team, Division of Vascular and Endovascular Surgery, Cardiac Surgery, Cardiology and Anesthesia, Universidade Federal da Bahia, Salvador, Brazil; Hospital Ana Nery, Division of Vascular Surgery, Universidade Federal da Bahia, Salvador, Brazil.
Hospital Ana Nery, Aortic Team, Division of Vascular and Endovascular Surgery, Cardiac Surgery, Cardiology and Anesthesia, Universidade Federal da Bahia, Salvador, Brazil.
Ann Vasc Surg. 2021 Apr;72:667.e17-667.e20. doi: 10.1016/j.avsg.2020.10.038. Epub 2021 Jan 16.
Endovascular techniques have proven useful in aortic arch management because they allow less invasive treatment and potentially faster recovery. We present the case of a 66-year-old woman with a 2-month history of precordial pain. Imaging studies revealed a saccular aortic arch aneurysm in the anterior portion of the arch. A Valiant Navion CoveredSeal (Medtronic, Santa Rosa, CA) device was modified with a double fenestration and used to treat it. The symptoms resolved and follow-up imaging showed aneurysm exclusion and patency of the supra-aortic branches. To our knowledge, this the first total endovascular arch repair to have been performed with this device.
血管内技术已被证明在主动脉弓处理中有用，因为它们允许进行侵入性较小的治疗，并有可能实现更快的康复。我们介绍了一位 66 岁女性的病例，她有 2 个月的心前区疼痛病史。影像学研究显示在前弓部分有一个囊状主动脉弓动脉瘤。一个 Valiant Navion CoveredSeal（美敦力，圣罗莎，加利福尼亚州）装置被修改为双窗，并用于治疗它。症状得到缓解，随访影像学显示动脉瘤被排除，并且主动脉弓分支通畅。据我们所知，这是首次使用该装置进行的全血管内弓修复。
