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Hybrid endovascular treatment of an aortic root and thoracoabdominal aneurysm in a high-risk patient with Marfan syndrome

机译:马凡综合征高危患者主动脉根部与胸腹动脉瘤的混合腔内治疗

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摘要

This report describes the hybrid endovascular treatment of an aortic root dilatation and a thoracoabdominal aneurysm in a high-risk patient with Marfan syndrome. A 50-year-old male, in hemodialysis for polycystic kidney and polycystic liver, was referred to our department for aortic root dilatation of 5 cm and a 6.3-cm thoracoabdominal aneurysm. He already underwent surgical repair of abdominal aortic aneurysm 10 years ago, complicated by pseudoaneurysm of the proximal anastomosis that had been treated in another center, with an endoprosthesis. The patient underwent aortic root replacement, aortic valve sparing operation, and rerouting of the superior mesenteric artery and celiac trunk to the ascending aorta. The thoracoabdominal aneurysm was excluded with an endoprosthesis few days after the surgical step. The 12-month computed tomography scan confirmed the complete exclusion of the thoracoabdominal aneurysm.
机译:该报告描述了高危马凡综合征患者的主动脉根部扩张和胸腹动脉瘤的混合血管内治疗。一名因多囊肾和多囊肝进行血液透析的50岁男性因主动脉根部扩张5厘米和胸腹动脉瘤6.3厘米而被转诊至我科。 10年前,他已经接受了腹主动脉瘤的外科手术修复,并伴有在另一中心进行了假体治疗的近端吻合口假性动脉瘤。患者接受了主动脉根置换术,主动脉瓣保留手术以及肠系膜上动脉和腹腔干重新路由至升主动脉。在手术步骤后的几天内,用内置假体排除了胸腹动脉瘤。为期12个月的计算机断层扫描扫描确认完全排除了胸腹动脉瘤。

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