慢性伴发DeBakeyⅡ型和Ⅲa型主动脉夹层患者血管内治疗的5年随访
5-Year Follow-Up of Endovascular Management in a Patient with Chronic Concomitant DeBakey Type II and IIIa Aortic Dissection.
作者信息
Siddiq Taofan, Dakota Iwan, Adiarto Suko, Indriani Suci, Sugisman Sugisman, Permana Asmoko Resta, Shu Chang
机构信息
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia.
Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia.
出版信息
Int J Angiol. 2022 Apr 19;32(1):21-25. doi: 10.1055/s-0042-1742307. eCollection 2023 Mar.
The incidence of chronic concomitant DeBakey Type II and IIIa aortic dissection is uncommon and complex. Since the mortality rate is very high, it requires a precise and holistic treatment plan. In some cases, when the patients refuse to undergo open surgery or the patients' condition is not suitable for open surgery, thoracic endovascular aortic repair (TEVAR) is the recommended therapeutic approach. In this case, a patient refused to undergo open surgery and chose TEVAR instead. The patient survived the procedure and lived for years. We present the case of a successful TEVAR procedure in a patient with chronic concomitant DeBakey Type II and IIIa aortic dissection in a 51-year-old man and the 5-year postoperative follow-up of the patient's condition.
慢性合并DeBakey II型和IIIa型主动脉夹层的发病率并不常见且情况复杂。由于死亡率很高，因此需要精确且全面的治疗方案。在某些情况下，当患者拒绝接受开放手术或患者的病情不适合进行开放手术时，胸主动脉腔内修复术（TEVAR）是推荐的治疗方法。在此病例中，一名患者拒绝接受开放手术，而是选择了TEVAR。该患者手术成功并存活了数年。我们报告了一例51岁男性慢性合并DeBakey II型和IIIa型主动脉夹层患者成功接受TEVAR手术的病例以及该患者术后5年的病情随访情况。
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