Cirillo-Penn Nolan C, Mendes Bernardo C, MacArthur Taleen A, Perry Robert J T, Oderich Gustavo S
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
Department of Cardiothoracic and Vascular Surgery, The University of Texas Health Science Center at Houston, Houston, TX.
J Vasc Surg Cases Innov Tech. 2024 Mar 18;10(3):101486. doi: 10.1016/j.jvscit.2024.101486. eCollection 2024 Jun.
Intercostal patch aneurysms after open thoracoabdominal aneurysm repair represent a challenging pathology, with highly variable patient anatomy and spinal cord ischemia risk. We present a case of a 51-year-old man with a large symptomatic "bucket-handle" loop graft intercostal patch aneurysm, which was treated with endovascular exclusion with concurrent parallel intercostal stent grafting. This case highlights specialized endovascular techniques to treat intercostal patch aneurysms and the necessity of meticulous operative case planning in both open and endovascular thoracoabdominal aneurysm repair.
胸腹主动脉瘤开放修复术后的肋间补片动脉瘤是一种具有挑战性的病理情况，患者解剖结构高度可变，且存在脊髓缺血风险。我们报告一例51岁男性患者，患有巨大有症状的“桶柄状”袢形移植物肋间补片动脉瘤，采用血管腔内隔绝术并同期并行肋间支架植入术进行治疗。该病例突出了治疗肋间补片动脉瘤的特殊血管腔内技术，以及在开放和血管腔内胸腹主动脉瘤修复中进行细致手术规划的必要性。
