升主动脉替换术后杂交手术中 B 型主动脉夹层致覆膜支架近端完全塌陷
Sudden endograft collapse due to type B aortic dissection after open conversion of endovascular aortic repair.
机构信息
Department of Cardiovascular Surgery, Keio University, Shinjuku, Tokyo, Japan.
出版信息
Interact Cardiovasc Thorac Surg. 2022 Feb 21;34(3):507-509. doi: 10.1093/icvts/ivab333.
A 58-year-old man was admitted for sudden numbness of the right leg and abdominal pain 6 months following late open conversion for endotension after endovascular aortic repair. Computed tomography demonstrated residual endograft collapse due to Stanford type B dissection. Emergent right axillobifemoral bypass was performed to perfuse the lower extremities. We performed subsequent total arch replacement with secondary thoracic endovascular aortic repair.
一名 58 岁男性，在血管内主动脉修复术后晚期开放转为内漏后 6 个月，因突发右腿麻木和腹痛入院。计算机断层扫描显示由于 Stanford 型 B 型夹层导致残留的血管内移植物塌陷。紧急进行右腋股旁路手术以灌注下肢。我们随后进行了全弓置换和二次胸主动脉血管内修复。
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