Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland.
Department of Vascular Surgery, University Hospital Basel, Basel, Switzerland.
J Int Med Res. 2021 Feb;49(2):300060520986710. doi: 10.1177/0300060520986710.
We report a bail out approach of endovascular thoracic aorta repair following incorrect deployment of a modified frozen elephant trunk stent graft into the false lumen. A 76-year-old patient was admitted to our Emergency Department. A computed tomography angiography scan showed type I DeBakey aortic dissection. An emergency modified frozen elephant trunk procedure was performed. Immediate postoperative computed tomography angiography showed that the distal segment of the stent was deployed in the false lumen, probably through a re-entry tear at the descending thoracic aorta. Emergency endovascular repair of the thoracic aorta, as well as angioplasty of the superior mesenteric artery and left iliac artery, were performed.
我们报告了一例经血管内胸主动脉修复术的抢救方法，该方法是在错误地将改良冷冻象鼻支架移植物置于假腔后进行的。一名 76 岁患者被收入我院急诊部。计算机断层血管造影扫描显示 I 型 DeBakey 主动脉夹层。紧急进行改良冷冻象鼻手术。术后即刻计算机断层血管造影显示支架的远端段位于假腔中，可能是通过降主动脉的再入口撕裂造成的。紧急进行胸主动脉血管内修复，以及肠系膜上动脉和左髂动脉的血管成形术。
