Lehman Haley S, Alnajjar Raed, Frisoli Tiberio
Division of Cardiothoracic Surgery, Department of Surgery, Henry Ford Macomb Hospital, Clinton Township, Michigan.
Division of Interventional Cardiology, Department of Cardiology, Henry Ford Health, Detroit, Michigan.
Ann Thorac Surg Short Rep. 2022 Oct 20;1(1):24-26. doi: 10.1016/j.atssr.2022.10.007. eCollection 2023 Mar.
Repair of thoracic aortic aneurysms has evolved in recent history. Open surgical intervention has largely been replaced with endovascular intervention. However, there are anatomic limitations to thoracic endovascular aneurysm repair. In patients with peripheral vascular disease or vessel tortuosity, it becomes dangerous to attempt percutaneous access or graft deployment for fear of severe complications, such as dissection or occlusion. We describe a technique whereby access to the aorta is obtained through the inferior vena cava, allowing the thoracic aneurysm to be repaired endovascularly.
胸主动脉瘤修复术在近代已有发展。开放手术干预在很大程度上已被血管内介入所取代。然而，胸主动脉瘤血管内修复存在解剖学限制。对于患有外周血管疾病或血管迂曲的患者，由于担心出现诸如夹层或闭塞等严重并发症，试图进行经皮穿刺入路或移植物置入变得危险。我们描述了一种通过下腔静脉进入主动脉的技术，从而能够对胸主动脉瘤进行血管内修复。
