经胸骨切开术，圈套器辅助胸腔内血管腔内主动脉修复术用于移位象鼻支架的重新定位。
Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk.
作者信息
Fereydooni Soraya, Amabile Andrea, Nassiri Naiem, Vallabhajosyula Prashanth
机构信息
Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.
Division of Vascular and Endovascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.
出版信息
J Vasc Surg Cases Innov Tech. 2023 Jan 11;9(1):101095. doi: 10.1016/j.jvscit.2023.101095. eCollection 2023 Mar.
The two-stage elephant trunk (ET) and thoracic endovascular aortic repair technique for type A and B aortic dissection can result in complications between the two stages. We have presented the case of a patient with an acute-on-chronic type B aortic dissection complicated by ET kinking and migration into the false lumen. We used a hybrid approach consisting of a first stage (retrograde thoracic endovascular aortic repair) and a second stage ("body floss" with antegrade thoracic endovascular aortic repair) to successfully reposition the ET back into the true lumen.
用于 A 型和 B 型主动脉夹层的两阶段象鼻术（ET）和胸段主动脉腔内修复技术可能会在两个阶段之间引发并发症。我们报告了一例慢性 B 型主动脉夹层急性发作且合并 ET 扭结并移入假腔的患者病例。我们采用了一种联合方法，包括第一阶段（逆行胸段主动脉腔内修复）和第二阶段（顺行胸段主动脉腔内修复的“身体牙线法”），成功将 ET 重新定位回真腔。
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