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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.

DOI:10.1016/j.atssr.2024.05.018
PMID:39790599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708639/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d427/11708639/41168cf12fe3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d427/11708639/2417c9bf9d57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d427/11708639/41168cf12fe3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d427/11708639/2417c9bf9d57/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d427/11708639/41168cf12fe3/gr2.jpg

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本文引用的文献

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Endovascular treatment of perigraft seroma in patient with prior hybrid thoracoabdominal repair using visceral bypass to relieve duodenal obstruction.采用内脏旁路术行杂交胸腹联合修复术后患者移植物周围血清肿的血管内治疗，以缓解十二指肠梗阻。
J Vasc Surg Cases Innov Tech. 2022 Aug 8;8(4):558-561. doi: 10.1016/j.jvscit.2022.07.016. eCollection 2022 Dec.
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A Hybrid Technique to Manage a Large Perigraft Seroma after an Open Abdominal Aortic Aneurysm Repair: A Case Report.
一种用于处理开放性腹主动脉瘤修复术后巨大移植血管周围血清肿的混合技术：病例报告
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Endovascular treatment of perigraft seroma after open abdominal aortic aneurysm repair: report of a case.开放手术修复腹主动脉瘤后移植物周围血清肿的血管内治疗：病例报告
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Frequency, risk factors, and management of perigraft seroma after open abdominal aortic aneurysm repair.开放腹主动脉瘤修复术后吻合口周围血清肿的频率、危险因素及处理。
J Vasc Surg. 2011 Sep;54(3):637-43. doi: 10.1016/j.jvs.2011.03.258. Epub 2011 May 28.
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Perigraft seroma: clinical, histologic, and serologic correlates.
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