通过手术修复严重的食障碍 (lusoria) 的手术
Lia Michos1, Cassidy Hart1, Sebastien Nantermet1
1Department of Surgery, Lankenau Medical Center, Wynnewood, PA.
Journal of vascular surgery cases and innovative techniques
|September 4, 2023
概括
一个罕见的异常右下关节动脉导致严重的消化不良. 使用未覆盖的支架移植进行的手术修复成功缓解了食道压缩,改善了患者的生活质量.
科学领域:
- 血管外科 血管外科
- 胸部外科手术 胸部外科手术
- 心脏病学 心脏病学
背景情况:
- 松症 (Dysphagia lusoria) 是一种罕见的疾病,由食道的血管压缩引起.
- 异常右下关节动脉 (ARSA) 是一种先天性异常,右下关节动脉从主动脉的左侧产生.
- 通过ARSA压缩食道,可能导致严重的吞困难.
研究的目的:
- 描述一个独特的病例严重的食障碍lusoria二次到ARSA.
- 详细介绍使用新型内血管方法进行手术修复的情况.
- 要突出长期的结果和生活质量的改善.
主要方法:
- 一名62岁的女性患者患有严重的消化不良,接受了诊断成像,显示ARSA压缩食道.
- 患者接受了右带 - 关节下关节旁路,并与胸内血管大动脉修复 (TEVAR) 结合使用未覆盖的剖析支架移植.
- 线圈栓塞用于异常的右下关节动脉.
主要成果:
- 未被覆盖的支架移植成功排除了ARSA,而没有堵塞本土的左下关节动脉.
- 患者在手术后经历了明显的消化不良症状缓解.
- 长期随访表明,吞功能和生活质量持续改善.
结论:
- 这一案例证明了ARSA引起的食障碍的成功和创新的内血管修复.
- 使用未覆盖的剖析支架移植提供了一个可行的替代传统的绕道手术,保持左下关节动脉通透性.
- 这种方法为患有这种罕见疾病的患者提供了一种具有优异的长期功能结果的最小侵入性选择.
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