Pandya Rudra, Dubois Luc, Scallan Oonagh
Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Department of Vascular Surgery, Western University, London, Ontario, Canada.
J Vasc Surg Cases Innov Tech. 2024 Oct 28;11(1):101659. doi: 10.1016/j.jvscit.2024.101659. eCollection 2025 Feb.
This case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen.
本病例报告描述了在急性A型主动脉夹层修复过程中，一枚杂交主动脉弓夹层支架意外植入假腔，导致肾和下肢灌注不良的血管内治疗情况。迅速识别并进行干预对于将与灌注不良相关的发病率和死亡率降至最低至关重要。存在多种恢复灌注的血管内策略，鉴于近端真腔闭塞以及主要起源于假腔的内脏动脉开口解剖结构，本病例突出了一种独特的方法。
