升主动脉置换术后移植物周围血清肿的胸主动脉腔内修复术。
Thoracic Endovascular Aortic Repair for Perigraft Seroma After Ascending Aorta Replacement.
作者信息
Kurotaki Takuma, Nishioka Naritomo, Hanada Kento, Sasaki Keita, Miura Shuhei, Masuda Takahiko, Maruyama Ryushi, Naraoka Shuichi, Yamada Akira, Kurimoto Yoshihiko
机构信息
Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan.
出版信息
Ann Thorac Surg Short Rep. 2024 Jun 13;2(4):721-724. doi: 10.1016/j.atssr.2024.05.018. eCollection 2024 Dec.
We report on a successful thoracic endovascular aortic repair for perigraft seroma (PGS) after ascending aorta replacement (AAR). An 82-year-old man underwent AAR. Two years after the operation, computed tomography showed a 75-mm PGS around the ascending aorta. The Valiant Navion thoracic stent graft system was deployed along the ascending aorta because of a minimally invasive procedure. Computed tomography showed that the diameter of the PGS had decreased to 68 mm. Two years after discharge, the diameter of the PGS was unchanged. It may be prudent to consider thoracic endovascular aortic repair for PGS after AAR.
我们报告了一例升主动脉置换术（AAR）后成功进行的胸主动脉腔内修复术治疗移植物周围血清肿（PGS）的病例。一名82岁男性接受了AAR。术后两年，计算机断层扫描显示升主动脉周围有一个75毫米的PGS。由于采用了微创手术，使用了Valiant Navion胸主动脉覆膜支架系统沿升主动脉展开。计算机断层扫描显示PGS直径已降至68毫米。出院两年后，PGS直径未变。对于AAR后出现的PGS，考虑进行胸主动脉腔内修复术可能是谨慎的做法。
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