利用主动脉缩小成形术和开放开窗建立远端着陆区的混合胸血管内主动脉修复

J.H. Lee, E.-J. Kim
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引用次数: 0

摘要

由于无法预测的主动脉重构,对慢性主动脉夹层患者进行胸腔血管内主动脉修复(TEVAR)的有效性存在争议。我们报告一例混合型TEVAR,通过主动脉缩小成形术和开放开窗在慢性主动脉夹层高危患者的远端着陆区。随着急性1型主动脉夹层术后生存率的提高,更多的夹层动脉瘤患者需要手术矫正。这项新技术可作为慢性主动脉夹层患者的一种合理的治疗方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hybrid Thoracic Endovascular Aortic Repair by Creating a Distal Landing Zone with Aortic Reduction Plasty and Open Fenestration

Introduction

The effectiveness of thoracic endovascular aortic repair (TEVAR) in patients with chronic aortic dissection is controversial due to the unpredictable remodelling of the aorta.

Report

We report a case of hybrid TEVAR by making a distal landing zone with aortic reduction plasty and open fenestration in a high-risk patient with chronic aortic dissection.

Discussion

As survival after acute type 1 aortic dissection has shown improvement, more patients with dissecting aneurysm require surgical correction. This novel technique can be a reasonable treatment modality for patients with chronic aortic dissection.

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