Guzzardi David G, Svystonyuk Daniyil A, Herget Eric J, Rommens Kenton L, McClure R Scott
Division of Vascular Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Ann Thorac Surg Short Rep. 2023 Jun 7;1(3):389-391. doi: 10.1016/j.atssr.2023.05.008. eCollection 2023 Sep.
Hybrid arch repair (HAR) combines surgical reconstruction of the ascending aorta and arch debranching with stent graft deployment into the descending thoracic aorta in an effort to reduce the morbidity associated with conventional open total arch replacement. We describe a case of delayed presentation for 2 thoracic aortic wall injuries caused by stent graft migration after type II HAR. This report highlights an important late complication of HAR and the need for careful device selection. It also underlines the importance of lifelong imaging surveillance for patients undergoing complex aortic arch reconstruction.
杂交主动脉弓修复术（HAR）将升主动脉的手术重建和弓部去分支与在降主动脉内植入支架移植物相结合，以降低与传统开放性全弓置换相关的发病率。我们描述了1例II型HAR术后因支架移植物移位导致2处胸主动脉壁损伤延迟就诊的病例。本报告强调了HAR的一种重要晚期并发症以及仔细选择器械的必要性。它还强调了对接受复杂主动脉弓重建的患者进行终身影像学监测的重要性。
