• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

采用联合手术方法分两阶段治疗主动脉弓和左锁骨下动脉动脉瘤：病例报告

Treatment of aortic arch and left subclavian artery aneurysms in two stages using combined surgical approaches: case report.

作者信息

Der Wu Josué Song, Dias Lucas Porto Maurity, Volpiani Giuliano Giová, Castelli Valter, Dos Santos Vanessa Prado, Nogueira Luiz Eduardo Meucci Pereira, Bernardi Walkíria Hueb, Caffaro Roberto Augusto

机构信息

Santa Casa de São Paulo, Faculdade de Ciências Médicas, São Paulo, SP, Brasil.

Irmandade da Santa Casa de Misericórdia de São Paulo - ISCMSP, São Paulo, SP, Brasil.

出版信息

J Vasc Bras. 2025 Apr 7;24:e20240127. doi: 10.1590/1677-5449.202401272. eCollection 2025.

DOI:10.1590/1677-5449.202401272
PMID:40226575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991671/
Abstract

Aortic arch aneurysms are often asymptomatic, being diagnosed incidentally in tests such as computed tomography, magnetic resonance imaging, or echocardiogram. Conventional treatment involves thoracotomy surgery, although treatment can also be performed using endovascular techniques. This article presents a case report of a complex aneurysm of the aortic arch with involvement of the left subclavian artery. Treatment was initiated with debranching of the supra-aortic trunks by carotid-carotid and carotid-subclavian bypasses, followed by ligation of the common carotid and left subclavian arteries. A second procedure was then needed to construct a surgical vascular conduit using a Dacron graft to obtain access to the aortic arch for the stent graft delivery device, due to the narrow caliber of the external femoral and iliac arteries. This report illustrates a satisfactory outcome in a case of aortic arch aneurysm with complex anatomy.

摘要

主动脉弓动脉瘤通常无症状，常在计算机断层扫描、磁共振成像或超声心动图等检查中偶然被诊断出来。传统治疗方法包括开胸手术，不过也可采用血管内技术进行治疗。本文介绍了一例累及左锁骨下动脉的复杂主动脉弓动脉瘤病例报告。治疗首先通过颈动脉 - 颈动脉和颈动脉 - 锁骨下动脉旁路对上主动脉干进行去分支，随后结扎颈总动脉和左锁骨下动脉。由于股外动脉和髂动脉管径狭窄，因此需要进行第二步操作，即使用涤纶移植物构建手术血管管道，以便为支架移植物输送装置进入主动脉弓提供通路。本报告说明了一例解剖结构复杂的主动脉弓动脉瘤病例取得了令人满意疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8eff5f19f5ae/jvb-24-e20240127-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/2f2488bdbe5c/jvb-24-e20240127-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/06498be72610/jvb-24-e20240127-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/9ab094f51b85/jvb-24-e20240127-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/fe8d8bf76985/jvb-24-e20240127-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8eff5f19f5ae/jvb-24-e20240127-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/2f2488bdbe5c/jvb-24-e20240127-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/06498be72610/jvb-24-e20240127-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8a23f494aab2/jvb-24-e20240127-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/6160bc55980a/jvb-24-e20240127-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8eff5f19f5ae/jvb-24-e20240127-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/2f2488bdbe5c/jvb-24-e20240127-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/06498be72610/jvb-24-e20240127-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/9ab094f51b85/jvb-24-e20240127-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/fe8d8bf76985/jvb-24-e20240127-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8eff5f19f5ae/jvb-24-e20240127-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/2f2488bdbe5c/jvb-24-e20240127-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/06498be72610/jvb-24-e20240127-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8a23f494aab2/jvb-24-e20240127-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/6160bc55980a/jvb-24-e20240127-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc39/11991671/8eff5f19f5ae/jvb-24-e20240127-g05.jpg

相似文献

1
Treatment of aortic arch and left subclavian artery aneurysms in two stages using combined surgical approaches: case report.采用联合手术方法分两阶段治疗主动脉弓和左锁骨下动脉动脉瘤：病例报告
J Vasc Bras. 2025 Apr 7;24:e20240127. doi: 10.1590/1677-5449.202401272. eCollection 2025.
2
Combined surgical and endovascular treatment of aortic arch aneurysms.主动脉弓动脉瘤的外科手术与血管内联合治疗
J Vasc Surg. 2006 Sep;44(3):460-466. doi: 10.1016/j.jvs.2006.04.057.
3
Hemi-aortic arch debranching for hybrid aortic arch repair by sequential transposition of the left common carotid and subclavian arteries.经左颈总动脉和锁骨下动脉序贯转位行杂交主动脉弓修复的半主动脉弓去分支术。
J Thorac Cardiovasc Surg. 2013 Mar;145(3):764-7. doi: 10.1016/j.jtcvs.2012.03.012. Epub 2012 Apr 3.
4
Technical tips and clinical experience with the Nexus Endospan arch branch stent-graft.Nexus Endospan 弓支动脉覆膜支架的技术要点和临床经验。
J Cardiovasc Surg (Torino). 2023 Feb;64(1):33-40. doi: 10.23736/S0021-9509.22.12577-2.
5
Hybrid endovascular aorta repair with simultaneous supra-aortic branch or iliac branch revascularization.杂交腔内主动脉修复术联合同期主动脉弓上分支或髂血管分支血运重建。
Chin Med Sci J. 2009 Sep;24(3):182-5. doi: 10.1016/s1001-9294(09)60086-9.
6
Use of custom Dacron branch grafts for "hybrid" aortic debranching during endovascular repair of thoracic and thoracoabdominal aortic aneurysms.在胸主动脉和胸腹主动脉瘤的血管腔内修复术中，使用定制涤纶分支移植物进行“杂交”主动脉去分支术。
J Thorac Cardiovasc Surg. 2008 Jul;136(1):21-8, 28.e1-6. doi: 10.1016/j.jtcvs.2008.02.051. Epub 2008 May 7.
7
Double homemade fenestrated stent graft for total endovascular aortic arch repair.双重自制开窗支架移植物在全腔内主动脉弓修复中的应用。
J Vasc Surg. 2019 Oct;70(4):1031-1038. doi: 10.1016/j.jvs.2018.11.054. Epub 2019 Mar 25.
8
Anatomical Feasibility of the "Canaud Technique" for Physician-Modified Thoracic Endovascular Grafts for the Treatment of Aortic Arch Disease.“卡诺德技术”用于医生改良胸主动脉腔内移植物治疗主动脉弓疾病的解剖学可行性
J Endovasc Ther. 2024 Jun 7:15266028241258148. doi: 10.1177/15266028241258148.
9
Follow-up results of aortic arch cervical debranching performed with the help of a temporary crossover external carotid artery bypass for cerebral protection followed by endovascular thoracic aortic aneurysm repair.在临时交叉颈外动脉旁路辅助下行脑保护，随后进行胸主动脉瘤腔内修复的主动脉弓颈部去分支术的随访结果。
Interact Cardiovasc Thorac Surg. 2020 May 1;30(5):724-731. doi: 10.1093/icvts/ivaa004.
10
Endovascular repair of descending thoracic aortic aneurysm: an evidence-based analysis.降主动脉瘤的血管腔内修复：一项基于证据的分析。
Ont Health Technol Assess Ser. 2005;5(18):1-59. Epub 2005 Nov 1.

本文引用的文献

1
Long-term outcomes after endovascular aortic treatment in patients with thoracic aortic diseases.胸主动脉疾病患者血管内主动脉治疗后的长期预后。
J Vasc Bras. 2023 Nov 20;22:e20220156. doi: 10.1590/1677-5449.202201562. eCollection 2023.
2
2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.2022 ACC/AHA 血管疾病诊断与管理指南：美国心脏协会/美国心脏病学会联合临床实践指南委员会的报告。
J Am Coll Cardiol. 2022 Dec 13;80(24):e223-e393. doi: 10.1016/j.jacc.2022.08.004. Epub 2022 Nov 2.
3
Burden of Aortic Aneurysm and Its Attributable Risk Factors from 1990 to 2019: An Analysis of the Global Burden of Disease Study 2019.
1990年至2019年主动脉瘤负担及其归因风险因素：全球疾病负担研究2019分析
Front Cardiovasc Med. 2022 May 31;9:901225. doi: 10.3389/fcvm.2022.901225. eCollection 2022.
4
Physician-modified Stent Graft for Total Endovascular Aortic Arch Repair.血管内全主动脉弓修复用医师改良型支架移植物。
Ann Vasc Surg. 2021 Apr;72:667.e17-667.e20. doi: 10.1016/j.avsg.2020.10.038. Epub 2021 Jan 16.
5
Complications and Management of the Thoracic Endovascular Aortic Repair.胸主动脉腔内修复术的并发症与处理
Aorta (Stamford). 2020 Jun;8(3):49-58. doi: 10.1055/s-0040-1714089. Epub 2020 Nov 5.
6
Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms.血管外科学会胸主动脉腔内修复术治疗降主动脉夹层动脉瘤的临床实践指南。
J Vasc Surg. 2021 Jan;73(1S):55S-83S. doi: 10.1016/j.jvs.2020.05.076. Epub 2020 Jul 3.
7
Total Endovascular Treatment of Aortic Arch Disease Using an Arch Endograft With 3 Inner Branches.使用具有3个内分支的主动脉弓移植物对主动脉弓疾病进行全腔内治疗。
J Endovasc Ther. 2017 Aug;24(4):534-538. doi: 10.1177/1526602817714569. Epub 2017 Jun 12.
8
Hybrid repair of aortic arch pathology.主动脉弓病变的杂交修复术。
Multimed Man Cardiothorac Surg. 2014 May 22;2014. doi: 10.1093/mmcts/mmu003. Print 2014.
9
Open surgical and endovascular conduits for difficult access during endovascular aortic aneurysm repair.在血管腔内修复主动脉瘤过程中用于困难入路的开放手术和血管腔内导管。
Ann Vasc Surg. 2012 Oct;26(7):1022-9. doi: 10.1016/j.avsg.2012.03.006. Epub 2012 Jul 25.
10
Ascending and arch aorta: pathology, natural history, and treatment.升主动脉和主动脉弓：病理学、自然史及治疗
Circulation. 2008 Jul 8;118(2):188-95. doi: 10.1161/CIRCULATIONAHA.107.690933.