Transapical coil embolization for subannular aortic pseudoaneurysm.

Q4 Medicine
Luca Di Marco, Francesco Buia, Antonio Piperata, Ludovica Fabiani, Domenico Attinà, Maria Adriana Cocozza, Davide Pacini, Luigi Lovato
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引用次数: 0

Abstract

Aortic pseudoaneurysm is a rare but life-threatening complication following aortic surgery. Although surgical repair remains the gold standard for treatment, alternative approaches such as transcatheter strategies are increasingly considered viable options, particularly in patients with high surgical risk due to comorbidities, anatomical challenges or technical constraints. We present the case of a 72-year-old male patient who developed a subaortic pseudoaneurysm during radiological follow-up after a previous Bentall operation. Given the high surgical risk, our multidisciplinary heart team opted for coil embolization via a transapical approach. The objective of this work was to present a step-by-step explanation of the transapical embolization with the coil as a landmark for all surgeons who want to perform it.

经根尖线圈栓塞治疗环下主动脉假性动脉瘤。
主动脉假性动脉瘤是主动脉手术后罕见但危及生命的并发症。尽管手术修复仍然是治疗的金标准,但经导管等替代方法越来越被认为是可行的选择,特别是在由于合并症、解剖挑战或技术限制而具有高手术风险的患者中。我们提出的情况下,72岁的男性患者谁发展了主动脉下假性动脉瘤放射随访后,先前的本特尔手术。鉴于手术风险高,我们的多学科心脏团队选择了经根尖入路线圈栓塞。这项工作的目的是提出一个循序渐进的解释与线圈经根尖栓塞作为一个里程碑的所有外科医生想要执行它。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
60
期刊介绍: The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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