Gormley Sinead, Zaman Zubayr, Mani Kevin, Khashram Manar
Department of Vascular & Endovascular Surgery, Waikato Hospital Hamilton, Hamilton, New Zealand.
Faculty of Medicine, University of Auckland, Auckland, New Zealand.
J Vasc Surg Cases Innov Tech. 2022 Jul 30;9(1):100971. doi: 10.1016/j.jvscit.2022.06.023. eCollection 2023 Mar.
Aorto-cutaneous fistulas are an unusual and life-threatening complication after aortic surgery. We present the case of an endovascular intervention for an aorto-cutaneous fistula of the ascending aorta that was intended to be a bridge to definitive surgical treatment and report a literature review. A 56-year-old woman had a previous Bentall's procedure and mitral valve annuloplasty in 2016. Four years later she re-presented with an infective pseudoaneurysm of the distal anastomosis of the ascending aortic graft, with aorto-cutaneous fistulation. She was at high risk for a revision operation and required optimization before a major open surgery. A thoracic endovascular aortic repair stent graft (Valiant Navion; Medtronic Inc) was implanted to exclude the distal anastomotic pseudoaneurysm. Two months later she re-presented with a new infected pseudoaneurysm at the proximal end of the previously implanted stent graft, and a further thoracic endovascular aortic repair was undertaken.
主动脉-皮肤瘘是主动脉手术后一种罕见且危及生命的并发症。我们报告了一例针对升主动脉主动脉-皮肤瘘的血管内介入治疗病例，该治疗旨在作为确定性手术治疗的桥梁，并进行了文献综述。一名56岁女性曾于2016年接受Bentall手术和二尖瓣环成形术。四年后，她再次出现升主动脉移植物远端吻合口感染性假性动脉瘤，并伴有主动脉-皮肤瘘。她接受翻修手术的风险很高，在进行大型开放手术前需要进行优化。植入了一枚胸段血管内主动脉修复支架移植物（Valiant Navion；美敦力公司）以排除远端吻合口假性动脉瘤。两个月后，她再次出现先前植入的支架移植物近端新的感染性假性动脉瘤，并再次进行了胸段血管内主动脉修复。
