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中主动脉综合征患者主动脉吻合口假性动脉瘤的平行腔内修复术。

Parallel endograft repair of an aortic anastomotic pseudoaneurysm in a patient with middle aortic syndrome.

作者信息

Fereydooni Arash, Kuroki Marcos T, Lee Jason T

机构信息

Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, Stanford, CA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Dec 25;11(2):101718. doi: 10.1016/j.jvscit.2024.101718. eCollection 2025 Apr.

DOI:10.1016/j.jvscit.2024.101718
PMID:39896823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787007/
Abstract

A 66-year-old female, with a history of middle aortic syndrome, who had been treated with aorto-iliac bypass, presented 47 years later with a pseudoaneurysm at the distal anastomosis. She was treated with parallel grafting and preservation of a large lumbar artery via periscope approach. This case highlights the challenges and considerations in managing aortic anastomotic pseudoaneurysms, particularly in patients with complex surgical histories with extra-anatomic debranching bypasses.

摘要

一名66岁女性，有中主动脉综合征病史，曾接受主动脉-髂动脉旁路移植术，47年后在远端吻合口处出现假性动脉瘤。她通过内镜入路采用平行移植并保留一条大的腰动脉进行治疗。该病例突出了处理主动脉吻合口假性动脉瘤的挑战和注意事项，特别是对于有复杂手术史且采用解剖外去分支旁路移植术的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/190c3e958571/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/7fa165bfb213/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/d9dcc0bcc241/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/190c3e958571/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/7fa165bfb213/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/d9dcc0bcc241/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecee/11787007/190c3e958571/gr3.jpg

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本文引用的文献

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Percutaneous Repair of Chronic Aortic Pseudoaneurysm: A Single-Center Experience.经皮修复慢性主动脉假性动脉瘤：单中心经验
J Soc Cardiovasc Angiogr Interv. 2024 Aug 9;3(10):102249. doi: 10.1016/j.jscai.2024.102249. eCollection 2024 Oct.
2
Systematic Review and Meta-analysis of Fenestrated and Chimney/Snorkel Techniques for Endovascular Repair of Juxtarenal Aortic Aneurysms.开窗及烟囱/分支技术治疗近肾腹主动脉瘤血管腔内修复术的系统评价与Meta分析
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Middle aortic syndrome in children and adolescents.
儿童和青少年的中段主动脉综合征
Glob Cardiol Sci Pract. 2022 Dec 30;2022(3):e202220. doi: 10.21542/gcsp.2022.20.
4
Editor's Choice - Therapeutic Options and Outcomes in Midaortic Syndrome: A Systematic Review and Meta-analysis.编辑推荐——中段主动脉综合征的治疗选择与结局：一项系统评价和荟萃分析
Eur J Vasc Endovasc Surg. 2023 Jan;65(1):120-130. doi: 10.1016/j.ejvs.2022.10.017. Epub 2022 Oct 8.
5
Diagnosis and Management of Genetic Causes of Middle Aortic Syndrome in Children: A Comprehensive Literature Review.儿童中段主动脉综合征遗传病因的诊断与管理：一项全面的文献综述
Ther Clin Risk Manag. 2022 Mar 16;18:233-248. doi: 10.2147/TCRM.S348366. eCollection 2022.
6
Midaortic syndrome in a middle-age female.中年女性的中段主动脉综合征。
BMJ Case Rep. 2021 Nov 9;14(11):e246530. doi: 10.1136/bcr-2021-246530.
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Parallel Grafting Should Be Considered as a Viable Alternative to Open Repair in High-Risk Patients With Paravisceral Aortic Aneurysms.对于内脏动脉型腹主动脉瘤高危患者，平行架桥术应作为开放修复术的可行替代方案。
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