Clark Aaron J, Drullinsky David, Pradella Maurice, Mehta Christopher K
Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Department of Radiology, Northwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
J Vasc Surg Cases Innov Tech. 2023 Jul 4;9(3):101258. doi: 10.1016/j.jvscit.2023.101258. eCollection 2023 Sep.
A 53-year-old man with a history of vascular ring repair secondary to a right-sided aortic arch with a retroesophageal subclavian artery and ligamentum arteriosum to the descending thoracic aorta presented to our institution with a large aortic pseudoaneurysm of the distal aortic arch. Computed tomography demonstrated a right-sided aortic arch with a 5.8-cm pseudoaneurysm arising from the distal arch with concern for rupture. The patient underwent successful two-stage repair, including a left carotid artery to subclavian artery bypass, followed by total arch replacement with the frozen elephant trunk technique. He recovered well postoperatively, and computed tomography showed complete, successful repair of the pseudoaneurysm.
一名53岁男性，有因右侧主动脉弓伴食管后锁骨下动脉及动脉韧带连接至降主动脉而进行血管环修复的病史，因主动脉弓远端巨大假性动脉瘤就诊于我院。计算机断层扫描显示右侧主动脉弓，远端弓部有一个5.8厘米的假性动脉瘤，有破裂风险。患者接受了成功的两阶段修复，包括左颈动脉至锁骨下动脉搭桥，随后采用冰冻象鼻技术进行全弓置换。他术后恢复良好，计算机断层扫描显示假性动脉瘤得到完全、成功修复。
