Ide Toru, Masada Kenta, Kuratani Toru, Shimamura Kazuo, Shijo Takayuki, Miyagawa Shigeru
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
J Vasc Surg Cases Innov Tech. 2022 Aug 5;8(4):620-622. doi: 10.1016/j.jvscit.2022.07.010. eCollection 2022 Dec.
Coral reef aorta (CRA) is characterized by heavily calcified obstructive lesions in the aorta. Thoracic endovascular aortic repair (TEVAR) is an established, less invasive procedure for aortic diseases; however, aortic occlusive diseases are commonly treated with conventional open surgery, and there are no reports of TEVAR in patients with a saccular aneurysm in CRA. We present a 72-year-old frail woman with a descending thoracic saccular aneurysm in CRA; therefore, we performed TEVAR. Although we had difficulty in advancing the stent graft system because it was caught in the severely calcified aorta, we finally succeeded in excluding the aneurysm.
珊瑚礁样主动脉（CRA）的特征是主动脉中存在严重钙化的阻塞性病变。胸主动脉腔内修复术（TEVAR）是一种成熟的、侵入性较小的治疗主动脉疾病的方法；然而，主动脉闭塞性疾病通常采用传统的开放手术治疗，目前尚无关于CRA囊状动脉瘤患者接受TEVAR治疗的报道。我们报告了一名72岁的体弱女性，其CRA降主动脉存在囊状动脉瘤；因此，我们为她实施了TEVAR。尽管由于支架移植物系统被严重钙化的主动脉卡住，我们在推进该系统时遇到了困难，但最终我们成功地隔绝了动脉瘤。
