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首页> 外文期刊>Vascular and endovascular surgery >Endovascular repair of early rupture of dacron aortic graft--two case reports.
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Endovascular repair of early rupture of dacron aortic graft--two case reports.

机译：涤纶主动脉移植物早期破裂的血管内修复－两例报道。

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Complications after open aortic surgery pose a challenge both to the vascular surgeon and the patient because of aging population, widespread use of cardiac revascularization, and improved survival after aortic surgery. The perioperative mortality rate for redo elective aortic surgery ranges from 5% to 29% and increases to 70-100% in emergency situation. Endovascular treatment of the postaortic open surgery (PAOS) patient has fewer complications and a lower mortality rate in comparison with redo open surgical repair. Two cases of ruptured abdominal aortic aneurysm (AAA) were managed with the conventional open surgical repair. Subsequently, spiral contrast computer tomography scans showed reperfusion of the AAA sac remnant mimicking a type III endoleak. These graft-related complications presented as vascular emergencies, and in both cases endovascular aneurysm repair (EVAR) procedure was performed successfully by aortouniiliac (AUI) stent graft and femorofemoral crossover bypass. These 2 patients add further merit to the cases reported in the English literature. This highlights the crucial importance of endovascular grafts in the management of such complex vascular problems.
机译：由于人口老龄化，广泛使用心脏血管重建术以及改善主动脉手术后的生存率，开放性主动脉手术后的并发症对血管外科医师和患者均构成挑战。重做选择性主动脉手术的围手术期死亡率从5％到29％不等，在紧急情况下增加到70-100％。与重做开放手术修复相比，对主动脉后开放手术（PAOS）患者进行血管内治疗的并发症更少，死亡率更低。常规开腹手术治疗了2例腹主动脉瘤破裂（AAA）。随后，螺旋对比计算机断层扫描显示模拟Ⅲ型内漏的AAA囊残余物的再灌注。这些与移植物相关的并发症表现为血管紧急情况，在两种情况下，均通过主动脉（AUI）支架移植和股股交叉搭桥成功进行了血管内动脉瘤修复（EVAR）程序。这两名患者进一步增加了英国文献报道的病例的价值。这凸显了血管内移植物在处理此类复杂血管问题中的至关重要性。

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