血管内修复后锁骨下动脉假性动脉瘤的开放手术治疗：1 例报告。
Open surgical treatment of subclavian artery pseudoaneurysm after endovascular repair: a case report.
机构信息
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
出版信息
J Cardiothorac Surg. 2022 Feb 26;17(1):25. doi: 10.1186/s13019-022-01775-0.
BACKGROUND
Subclavian artery aneurysms are rare but may cause life-threatening complications. Surgical repair has been performed as a treatment of choice, but recently, with the development of endovascular treatment, many endovascular repairs have been performed to prevent surgical complications.
CASE PRESENTATION
A patient undergoing endovascular repair with a subclavian artery aneurysm was diagnosed with a type II endoleak with an enlarged aneurysmal sac. Surgical repair was performed to remove the aneurysmal sac compressing the adjacent organs.
CONCLUSIONS
The highly mobile subclavian artery has abundant collaterals. Therefore, regular follow-up is essential for endovascular repair. Surgical repair is effective when adjacent organs are compressed by the aneurysm sac.
背景
锁骨下动脉动脉瘤较为罕见，但可能会导致危及生命的并发症。手术修复一直是首选治疗方法，但最近随着腔内治疗的发展，许多腔内修复术已被用于预防手术并发症。
病例介绍
一名接受锁骨下动脉动脉瘤腔内修复术的患者被诊断为 II 型内漏，伴动脉瘤囊增大。为了切除压迫邻近器官的动脉瘤囊，进行了手术修复。
结论
锁骨下动脉活动度高，侧支循环丰富。因此，腔内修复后需要定期随访。当动脉瘤囊压迫邻近器官时，手术修复是有效的。
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