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首页> 外文期刊>Vascular and endovascular surgery >Fatal Complications of New-Onset Complicated Type B Aortic Dissection After Endovascular Abdominal Aortic Aneurysm Repair: Report of 2 Cases and Literature Review
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Fatal Complications of New-Onset Complicated Type B Aortic Dissection After Endovascular Abdominal Aortic Aneurysm Repair: Report of 2 Cases and Literature Review

机译：腹血管腹主动脉瘤后致命并发症B型致命并发症B型主动脉瘤修复：2例案例报告及文献综述

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摘要

New-onset antegrade Stanford type B aortic dissection (TBAD) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) is rare. The extension of aortic dissection leads to various symptoms and affects the stent graft. Moreover, various symptoms may arise owing to a stent graft being present. We describe 2 cases of complicated acute TBAD occurring after EVAR, which were ultimately fatal. The case in which rupture occurred could not be treated and the patient died. In another case with bilateral lower extremity malperfusion caused by collapse and occlusion of the endograft, extra-anatomical bypass was performed. Although the collapsed endograft gradually re-expanded, the patient ultimately died because of multiorgan failure. We have reviewed the literature and analyzed the treatment of complicated TBAD after EVAR.
机译：New-on-stegrade stanford型b主动脉夹层（tbad）后腹血管动脉瘤修复（evar）用于腹主动脉瘤（aaa）是罕见的。 主动脉夹层的延伸导致各种症状，并影响支架移植物。 此外，由于存在的支架移植物可能出现各种症状。 我们描述了2例复杂的急性TBAD发生，最终是致命的。 发生破裂的情况不能治疗，并且患者死亡。 在另一种情况下，由于塌陷和内切拉移植的塌陷和闭塞引起的双侧下肢孕抗性，进行了超重解剖学旁路。 虽然倒塌的内血血移植逐渐重新扩展，但患者最终因多功能衰竭而死。 我们已经审查了文献，并分析了Evar后的复杂TBAD的治疗。

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