Alfaisal University, Riyadh, Saudi Arabia; Vascular Surgery Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Vascular Surgery Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Ann Vasc Surg. 2021 Jul;74:523.e19-523.e25. doi: 10.1016/j.avsg.2021.01.100. Epub 2021 Apr 5.
We report a case of a 72 years-old male referred to us with a 2-year history of an enlarging aortic aneurysm secondary to a chronic Type B aortic dissection and a complete occlusion of the true lumen in the thoracic and abdominal aorta except at the level of visceral arteries origins. Several attempts to recanalize the true lumen was not successful. Because of the patient's high risk for an open repair and the normal size of his thoracic aorta proximal to the celiac artery, we deployed the TEVAR stent to the false lumen to prevent aneurysmal enlargement and rupture. The operation was successful, and the patient recovered without complications and with complete exclusion of the aneurysm on two years follow up.
我们报告了一例 72 岁男性病例，他因慢性 B 型主动脉夹层导致的升主动脉瘤在 2 年内逐渐增大，胸腹部主动脉的真腔完全闭塞，除了内脏动脉起源处。多次尝试再通真腔均未成功。由于患者行开放修复的风险较高，且其腹腔动脉近端的胸主动脉大小正常，我们将 TEVAR 支架置入假腔以防止动脉瘤扩大和破裂。手术成功，患者在无并发症的情况下康复，且在两年的随访中完全排除了动脉瘤。
