Division of Cardiac Surgery, 9308University of Padova, Italy.
Division of Vascular Surgery, 60242University of Padova, Italy.
Innovations (Phila). 2022 Jan-Feb;17(1):64-66. doi: 10.1177/15569845211050388. Epub 2021 Dec 31.
A patient with a history of surgery for type A acute aortic dissection was readmitted for aortic arch and descending aortic dissection with rupture at the isthmus and periaortic hematoma. Due to the high surgical risk, the aortic team chose an endovascular approach, and the patient successfully underwent emergency total arch exclusion with an off-the-shelf, bimodular, single-branch device. The main module was deployed in the aortic arch and in the brachiocephalic trunk, and the second module was deployed in the ascending aorta. Despite the good perioperative outcome with no cerebrovascular events, the patient died 20 days later because of sudden iliac rupture.
一位有 A 型急性主动脉夹层手术史的患者因弓部和降主动脉夹层并在峡部破裂和主动脉周围血肿而再次入院。由于手术风险高，主动脉团队选择了血管内治疗方法，患者成功接受了紧急全弓置换术，使用了一种现成的、双模块、单分支装置。主模块部署在主动脉弓和头臂干，第二模块部署在升主动脉。尽管围手术期结果良好，没有发生脑血管事件，但患者在 20 天后因突然的髂动脉破裂而死亡。
