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0区内血管修复上升性大动脉伪动脉瘤:一个病例报告
Sarah Halbert1,2, Christian Nagy1,3, Jared Antevil1,4
1Division of Cardiothoracic Surgery, Heart Center, Veterans Affairs Medical Center, Washington, District of Columbia.
Aorta (Stamford, Conn.)
|March 19, 2024
概括
胸内血管大动脉修复 (TEVAR) 为上升大动脉疾病提供了开放性手术的可行替代方案. 这一案例证明了Zone 0 TEVAR在老年患者的大型上升性大动脉透性的成功治疗.
科学领域:
- 心血管外科心血管外科
- 血管内血管治疗 血管内血管治疗
- 大动脉疾病 大动脉疾病
背景情况:
- 传统上,上升的大动脉病理需要进行开放式手术修复.
- 内血管技术正在成为特定的大动脉疾病的潜在替代方案.
- 穿透大动脉的带来了重大风险,特别是在老年患者中.
研究的目的:
- 报告一个上升大动脉透性的病例,用内血管修复治疗.
- 在复杂的病例中强调Zone 0胸内血管大动脉修复 (TEVAR) 的可行性.
- 讨论TEVAR在老年患者上升性大动脉病理管理中的作用.
主要方法:
- 一名77岁的男性患者患有5.7厘米的上升性大动脉透,被选为治疗.
- 在0区进行胸内血管大动脉修复 (TEVAR).
- 这项手术涉及将内血管支架移植到上升性大动脉中,覆盖.
主要成果:
- 区0 TEVAR程序已经成功完成.
- 在治疗决策中考虑了患者的临床形状和年龄.
- 与开放式手术相比,内血管方法提供了一个不那么侵入性的选择.
结论:
- 区域0TEVAR可以作为上升性大动脉透性的安全有效治疗方法,特别是在高风险的老年患者中.
- 内血管修复代表了在上升性大动脉病理的选择性病例中对开放性手术的可行替代方案.
- 这一案例强调了胸内血管大动脉修复的日益扩大的指示.
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