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一期杂交主动脉修复术治疗移位、血栓形成、漂浮的主动脉覆膜支架。

One-Stage, Hybrid Aortic Repair for a Migrated, Thrombosed, Floating Aortic Stent Graft.

作者信息

Watkins A Claire, Eyuboglu Mavi, Yasin Aleena, MacArthur John W

机构信息

Department of Cardiothoracic Surgery, Stanford School of Medicine, Stanford, California.

University of Southern California School of Medicine, Los Angeles, California.

出版信息

Ann Thorac Surg Short Rep. 2022 Nov 24;1(1):18-21. doi: 10.1016/j.atssr.2022.11.010. eCollection 2023 Mar.

DOI:10.1016/j.atssr.2022.11.010
PMID:39790540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708289/
Abstract

A 50-year-old man with an acute type B aortic dissection underwent thoracic endovascular aortic repair in 2019. The patient presented again with chest pain and left arm numbness. Computed tomography scan revealed aneurysm expansion and extensive thrombus within a floating stent graft. He underwent explantation of the stent graft, zone 2 total aortic arch replacement with frozen elephant trunk, and left axillary artery bypass. Simultaneously, he underwent retrograde thoracic endovascular aortic repair extension and controlled balloon septal rupture. Two years after surgery, he remains without complication.

摘要

一名患有急性B型主动脉夹层的50岁男性于2019年接受了胸主动脉腔内修复术。患者再次出现胸痛和左臂麻木。计算机断层扫描显示动脉瘤扩张，且在浮动支架移植物内有广泛血栓形成。他接受了支架移植物取出术、带冰冻象鼻的2区全主动脉弓置换术以及左腋动脉旁路移植术。同时，他接受了逆行胸主动脉腔内修复术扩展和控制性球囊房间隔造口术。术后两年，他未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/ce08d9eaaf55/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/7d36829c9229/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/2a56a51a61bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/ce08d9eaaf55/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/7d36829c9229/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/2a56a51a61bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6365/11708289/ce08d9eaaf55/gr3.jpg

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本文引用的文献

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Intragraft Obstructive Thrombus Two Years After Endovascular Repair of Traumatic Aortic Injury: A Case Report and Review of the Literature.创伤性主动脉损伤血管腔内修复术后两年出现的移植物内阻塞性血栓形成：一例病例报告及文献复习
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Endovascular repair of acute complicated type B aortic dissection-systematic review and meta-analysis of long-term survival and reintervention.急性复杂性B型主动脉夹层的血管腔内修复——长期生存及再次干预的系统评价与荟萃分析
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False lumen embolization in chronic aortic dissection promotes thoracic aortic remodeling at midterm follow-up.
慢性主动脉夹层中的假腔栓塞可促进中期随访时的胸主动脉重塑。
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Combined frozen elephant trunk and endovascular repair for extensive thoracic aortic aneurysms.联合冷冻象鼻技术与血管腔内修复术治疗广泛型胸主动脉瘤
Ann Vasc Surg. 2015 Jul;29(5):905-12. doi: 10.1016/j.avsg.2014.12.023. Epub 2015 Feb 26.
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7
Hybrid repair of distal arch aortic aneurysms: endovascular elephant trunk completion.远端主动脉弓动脉瘤的杂交修复术：血管腔内象鼻术完成
Ann Vasc Surg. 2011 Jul;25(5):598-604. doi: 10.1016/j.avsg.2010.10.003. Epub 2010 Dec 4.