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在一名马凡综合征患者进行血管腔内主动脉修复术期间，采用混合方法实现安全的远端密封区。

Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome.

作者信息

Han Jesse Y, James Herbert I, Manesh Michelle, Pyun Alyssa J, Miranda Elizabeth, Han Sukgu M

机构信息

Keck School of Medicine of the University of Southern California, Los Angeles, CA.

Division of Vascular Surgery and Endovascular Therapy, Keck Medical Center of University of Southern California, Los Angeles, CA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Aug 3;10(6):101595. doi: 10.1016/j.jvscit.2024.101595. eCollection 2024 Dec.

DOI:10.1016/j.jvscit.2024.101595
PMID:39282211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11401353/
Abstract

This report details a hybrid approach for treatment of abdominal aortic aneurysm in a patient with Marfan syndrome (MFS). A 34-year-old patient with MFS and prior open thoracoabdominal aortic aneurysm repair underwent bilateral common iliac artery interposition graft repair and endovascular aortic repair. The bifurcated stent graft was implanted into the previous thoracoabdominal graft proximally and iliac interposition grafts distally. Postoperatively, the patient recovered uneventfully with sac regression to 4.5 cm through 2-year follow-up, without seal zone degeneration. This hybrid approach aimed to eliminate landing zone degeneration in patients with MFS undergoing endovascular repair.

摘要

本报告详细介绍了一种用于治疗马凡综合征（MFS）患者腹主动脉瘤的混合治疗方法。一名34岁患有MFS且曾接受过开胸胸腹主动脉瘤修复术的患者接受了双侧髂总动脉搭桥修复术和血管腔内主动脉修复术。分叉型覆膜支架移植物近端植入先前的胸腹移植物，远端植入髂部搭桥移植物。术后，患者恢复顺利，通过2年随访，瘤囊缩小至4.5厘米，且无密封区退变。这种混合治疗方法旨在消除接受血管腔内修复术的MFS患者的锚定区退变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/5593d48d69bf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/47daaf58e5ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/a8d7c52dbd75/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/5593d48d69bf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/47daaf58e5ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/a8d7c52dbd75/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d306/11401353/5593d48d69bf/gr3.jpg

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本文引用的文献

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Redo aortic surgery: Does one versus multiple affect outcomes?再次主动脉手术：单次手术与多次手术对预后有何影响？
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