采用改良的四分叉冰冻象鼻移植物治疗伴有左锁骨下动脉异常的右侧主动脉弓动脉瘤。

Modified use of a 4-branched frozen elephant trunk prosthesis for treatment of a right-sided aortic arch aneurysm with an aberrant left subclavian artery.

机构信息

Department of Cardiovascular Surgery, University Heart & Vascular Centre Hamburg, Hamburg, Germany.

Department of Vascular Medicine, University Heart & Vascular Centre Hamburg, Hamburg, Germany.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1177-1179. doi: 10.1093/icvts/ivab349.

DOI:10.1093/icvts/ivab349

PMID:34951630

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9714589/

Abstract

Right aortic arch aneurysm originating from a Kommerell's diverticulum associated with an aberrant left subclavian artery is a rare congenital entity. We report a case of an asymptomatic 60-year-old female with right aortic arch aneurysm with an aberrant left subclavian artery, treated with a modified frozen elephant trunk technique using a 4-branched prosthesis, with the perfusion branch as an extra-anatomical bypass to the aberrant left subclavian artery. This case demonstrates short-term safety and efficacy of this technique.

摘要

起源于 Kommerell 憩室的右位主动脉弓动脉瘤伴左锁骨下动脉异常是一种罕见的先天性异常。我们报告了一例 60 岁无症状女性的右位主动脉弓动脉瘤伴左锁骨下动脉异常，采用改良冷冻象鼻技术，使用 4 分支假体，将灌注分支作为异常左锁骨下动脉的解剖旁路。该病例证实了该技术的短期安全性和有效性。