Fann J I, Dake M D, Semba C P, Liddell R P, Pfeffer T A, Miller D C
Department of Cardiovascular and Thoracic Surgery, Stanford University School of Medicine, California, USA.
Ann Thorac Surg. 1995 Oct;60(4):1102-5. doi: 10.1016/0003-4975(95)00432-k.
A 68-year-old woman with severe chronic obstructive pulmonary disease, aortic valvular insufficiency, and diffuse thoracic aortic aneurysm underwent aortic valve replacement and separate Dacron graft replacement of the ascending aortic and arch aneurysms using the elephant trunk technique. She was discharged on the tenth postoperative day. Five months later, she underwent endovascular stent-graft repair of the descending thoracic aortic aneurysm. She recovered uneventfully, and was discharged on the third postoperative day. Follow-up computed tomography at 6 months demonstrated exclusion of all flow into the descending thoracic aortic aneurysm. The elephant trunk technique followed by endovascular stent-grafting of the descending thoracic component is a potential therapeutic option in selected high-risk patients with diffuse aortic aneurysmal disease.
一名68岁女性，患有严重的慢性阻塞性肺疾病、主动脉瓣关闭不全和弥漫性胸主动脉瘤，接受了主动脉瓣置换术，并采用象鼻技术对升主动脉和主动脉弓动脉瘤分别进行了涤纶人工血管置换。她在术后第十天出院。五个月后，她接受了胸降主动脉瘤的血管内支架植入修复术。她恢复顺利，术后第三天出院。术后6个月的随访计算机断层扫描显示，所有血流均被排除在胸降主动脉瘤之外。对于患有弥漫性主动脉瘤疾病的特定高危患者，先采用象鼻技术，然后对胸降主动脉部分进行血管内支架植入术是一种潜在的治疗选择。
