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在开放手术中采用血管内策略：在合并缩窄的广泛扩张主动脉中使用冷冻象鼻技术进行杂交修复的挑战。

Using an Endovascular Strategy in the Open Setting: The Challenges of Hybrid Repair Using Frozen Elephant Trunk in an Extensively Dilated Aorta Associated with Coarctation.

作者信息

Harrington Bertram, McPherson Iain, Bayliss Christopher, Barnard Sion, McCaslin James, Williams Robin, Booth Karen

机构信息

Newcastle University Medical School, Framlington Place, Newcastle-upon-Tyne, United Kingdom.

Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom.

出版信息

Aorta (Stamford). 2021 Oct;9(5):190-192. doi: 10.1055/s-0041-1732398. Epub 2021 Dec 8.

DOI:10.1055/s-0041-1732398
PMID:34879401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8654517/
Abstract

With both stenosis and aneurysm, repairing a severely tortuous and coarcted aorta can present certain difficulties. The advent of hybrid arch frozen elephant trunk techniques, as well as other endovascular solutions, has produced safer surgical repair methods for such cases. We present the reconstruction and repair of a Type-1 thoracoabdominal aortic aneurysm using a staged approach in less-than-optimal anatomy. Interventions included hybrid frozen elephant trunk, balloon dilation, and thoracic endovascular repair.

摘要

对于同时存在狭窄和动脉瘤的情况，修复严重迂曲和缩窄的主动脉会面临一定困难。杂交弓部冷冻象鼻技术以及其他血管腔内治疗方法的出现，为这类病例带来了更安全的手术修复方式。我们介绍了在解剖结构欠佳的情况下采用分期方法对1型胸腹主动脉瘤进行重建和修复的情况。干预措施包括杂交冷冻象鼻技术、球囊扩张和胸段血管腔内修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/04ba407fd6bd/10-1055-s-0041-1732398-i200054-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/95ca05cf017f/10-1055-s-0041-1732398-i200054-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/0c26e41d3c1d/10-1055-s-0041-1732398-i200054-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/04ba407fd6bd/10-1055-s-0041-1732398-i200054-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/95ca05cf017f/10-1055-s-0041-1732398-i200054-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/0c26e41d3c1d/10-1055-s-0041-1732398-i200054-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fe/8654517/04ba407fd6bd/10-1055-s-0041-1732398-i200054-3.jpg

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本文引用的文献

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Thoracic Endovascular Aortic Repair Adverse Events Reported In The Food And Drug Administration Manufacturer And User Facility Device Experience Database.食品药品监督管理局制造商和用户设施设备经验数据库中报告的胸主动脉腔内修复不良事件。
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Frozen Elephant Trunk to Treat Coarctation Associated With Proximal Aortic Disease: Better to Be Smart Than Brave.使用“冰冻象鼻”技术治疗与近端主动脉疾病相关的缩窄：明智胜于盲目勇敢。
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Mortality characteristics of aortic root surgery in North America.
北美主动脉根部手术的死亡率特征
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Coarctation-associated aneurysms: a localized disease or diffuse aortopathy.缩窄相关的动脉瘤：局限性疾病还是弥漫性主动脉病？
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J Am Coll Cardiol. 2010 Mar 9;55(10):986-1001. doi: 10.1016/j.jacc.2009.11.047.
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Late complications of coarctation of the aorta.主动脉缩窄的晚期并发症。
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Coarctation of the aorta: natural history and outcome after surgical treatment.主动脉缩窄：手术治疗后的自然病史及预后
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