在一名马凡氏综合征患者的主动脉血管内修复术中，采用混合方法实现安全的远端密封区

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-08-03 DOI:10.1016/j.jvscit.2024.101595

Jesse Y. Han BA , Herbert I. James III , Michelle Manesh MD , Alyssa J. Pyun MD , Elizabeth Miranda MD , Sukgu M. Han MD, MS

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引用次数: 0

摘要

本报告详细介绍了一种治疗马凡综合征（MFS）患者腹主动脉瘤的混合方法。一名 34 岁的马凡综合征患者曾接受过开放性胸腹主动脉瘤修补术，并接受了双侧髂总动脉插管移植修补术和血管内主动脉修补术。分叉支架移植物近端植入之前的胸腹移植物，远端植入髂总动脉插置移植物。术后，患者恢复顺利，在两年的随访中，囊肿缩小到 4.5 厘米，没有出现密封区变性。这种混合方法旨在消除接受血管内修复的 MFS 患者的着床区变性。

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Hybrid approach to achieve secure distal seal zones during endovascular aortic repair in a patient with Marfan syndrome

This report details a hybrid approach for treatment of abdominal aortic aneurysm in a patient with Marfan syndrome (MFS). A 34-year-old patient with MFS and prior open thoracoabdominal aortic aneurysm repair underwent bilateral common iliac artery interposition graft repair and endovascular aortic repair. The bifurcated stent graft was implanted into the previous thoracoabdominal graft proximally and iliac interposition grafts distally. Postoperatively, the patient recovered uneventfully with sac regression to 4.5 cm through 2-year follow-up, without seal zone degeneration. This hybrid approach aimed to eliminate landing zone degeneration in patients with MFS undergoing endovascular repair.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.