İşcan Hakkı Zafer, Tümer Naim Boran, Mavioğlu Hayrettin Levent
Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jan 30;31(1):149-153. doi: 10.5606/tgkdc.dergisi.2023.23691. eCollection 2023 Jan.
Currently, thoracic endovascular aortic repair is usually the first-line treatment option for descending aortic pathologies. Supra-aortic or visceral branches sometimes involve assistive thoracic endovascular aortic repair techniques; hybrid procedures or intentional coverage may be performed during the procedure to achieve a sufficient proximal or distal landing zone. Most surgeons may agree on selective coverage of celiac truncus, but revascularization is preferred to reduce the risk of ischemic complications. Herein, we present the first successful surgeonmodified fenestrated stent graft procedure for celiac truncus in a patient with Crawford type V descending aortic aneurysm in Türkiye.
目前，胸主动脉腔内修复术通常是降主动脉病变的一线治疗选择。主动脉弓上或内脏分支有时需要辅助性胸主动脉腔内修复技术；手术过程中可能会进行杂交手术或有意覆盖，以获得足够的近端或远端锚定区。大多数外科医生可能会同意选择性覆盖腹腔干，但为降低缺血性并发症的风险，血管重建术更受青睐。在此，我们介绍了土耳其首例成功应用外科改良开窗支架移植物治疗一名患有克劳福德V型降主动脉瘤患者腹腔干的手术。
