右开胸入路治疗胸血管内主动脉修补术后不常见II型腔漏

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-02-04 DOI:10.1016/j.jvscit.2025.101749

Yoshiyuki Kobayashi MD , Keiji Uchida MD, PhD , Kaori Mori MD , Kiyotaka Suzuki MD , Aya Saito MD, PhD

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引用次数: 0

摘要

一例80岁男性假性动脉瘤破裂，经主动脉夹层修复后行胸腔腔内动脉瘤修复术。由于II型内漏，动脉瘤在4年内从43毫米扩大到89毫米，计算机断层血管造影显示主动脉弓小曲处右侧肋间支气管干和左侧支气管动脉未闭。通过右开胸成功地解剖了这些动脉。术后2年，动脉瘤保持稳定在80mm。当血管内入路困难时，对II型胸血管内动脉瘤修复后的罪魁祸首血管进行开放手术治疗可能是有效的。

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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Right thoracotomy approach for the management of uncommon type II endoleak after thoracic endovascular aortic repair

An 80-year-old male with a ruptured pseudoaneurysm after aortic dissection repair underwent thoracic endovascular aneurysm repair. The aneurysm expanded from 43 mm to 89 mm over 4 years because of type II endoleak, with computed tomography angiography revealing a patent right intercostobronchial trunk and left bronchial artery on the lesser curvature of the aortic arch. These arteries were successfully dissected via right thoracotomy. During the 2-year postoperative period, the aneurysm remained stable at 80 mm. Open surgical management of the culprit vessel may be effective for type II endoleaks following thoracic endovascular aneurysm repair when endovascular approaches are challenging.

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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.