用于封堵主动脉支气管瘘的心脏装置。
Cardiac device to plug an aorto-bronchial fistula.
作者信息
Ahmadi Somaye, Sadeghipour Parham, Mohebbi Bahram, Rabiei Parham, Parham Maryam, Rahmanpour Hamid Reza, Moosavi Jamal
机构信息
Cardiovascular Intervention Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
CVIR Endovasc. 2022 Sep 17;5(1):49. doi: 10.1186/s42155-022-00327-w.
BACKGROUND
Post-coarctoplasty aortic pseudoaneurysms constitute a lethal problem occurring in up to 38% of patients with a history of aortic coarctation surgical repair. Such pseudoaneurysms are prone to rupture if managed conservatively and high mortality and morbidity if treated with open surgery. Therefore, the endovascular approach has been proposed for their management.
CASE REPORT
We describe a patient with a post-coarctoplasty aortic pseudoaneurysm complicated by an aortobronchial fistula. The case was treated via the endovascular approach (thoracic endovascular aortic repair and endovascular coarctoplasty) with an atrial septal defect occluder device.
CONCLUSIONS
Endovascular repair is a feasible, safe, and promising treatment for thoracic aortic pseudoaneurysms secondary to coarctation repair.
背景
主动脉缩窄修复术后的主动脉假性动脉瘤是一个致命问题，在有主动脉缩窄手术修复史的患者中发生率高达38%。此类假性动脉瘤若采用保守治疗易破裂，若行开放手术治疗则死亡率和发病率较高。因此，已提出采用血管内介入方法进行治疗。
病例报告
我们描述了一名患有主动脉缩窄修复术后主动脉假性动脉瘤并伴有主动脉支气管瘘的患者。该病例通过血管内介入方法（胸主动脉腔内修复术和血管内缩窄成形术）并使用房间隔缺损封堵器进行治疗。
结论
血管内修复术是治疗缩窄修复术后胸主动脉假性动脉瘤的一种可行、安全且有前景的治疗方法。
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