May J, White G, Yu W, Sachinwalla T, McGahan T, Monaghan G
Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
J Vasc Surg. 1995 Aug;22(2):167-72. doi: 10.1016/s0741-5214(95)70112-5.
A 62-year-old male patient was admitted with acute dissociation of the descending thoracic aorta and an infrarenal abdominal aortic aneurysm (AAA). Investigation revealed that the thoracic dissection probably had arisen retrogradely in the posterior wall of the AAA and extended superiorly to the left subclavian artery as a blind sac. Implantation of an endoluminal graft device below the renal arteries enabled simultaneous treatment of the AAA and the thoracic aortic dissection. The patient had an uncomplicated recovery. Postoperative aortography and computed tomography demonstrated normal flow through the aorta and endograft without leak of contrast into the AAA sac or the false lumen of the dissection. Contrast computed tomography 6 months after operation demonstrated that the false lumen was no longer evident.
一名62岁男性患者因胸降主动脉急性夹层分离和肾下腹主动脉瘤（AAA）入院。检查发现，胸段夹层可能起源于AAA后壁的逆行性病变，并向上延伸至左锁骨下动脉，形成一个盲袋。在肾动脉下方植入腔内移植物装置可同时治疗AAA和胸主动脉夹层。患者恢复顺利。术后主动脉造影和计算机断层扫描显示主动脉和腔内移植物血流正常，造影剂未漏入AAA囊或夹层的假腔。术后6个月的对比计算机断层扫描显示假腔不再明显。
