Single branch arch stent graft combined with laser fenestration in the treatment of a zone two penetrating thoracic aortic ulcer.

单支弓支架联合激光开窗术治疗两区穿透性胸主动脉溃疡。

• 发表时间: 2023 Sep
• 来源期刊: J Vasc Surg Cases Innov Tech
• DOI: 10.1016/j.jvscit.2023.101281
• PMID: 37662564
• 文章类型: Case Reports
• 作者列表: Al-Gburi M,Eiberg JP,Resch TA

关键词: Penetrating aortic ulcer; TEVAR; Thoracic aorta; Vascular surgical procedure

Abstract

We present the case of a 75-year-old man with a symptomatic penetrating aortic ulcer located in zone 2 on the arch inner curve between the left subclavian artery and left carotid artery treated using a single branch thoracic endovascular aortic repair combined with in situ laser fenestration. The patient underwent a successful procedure with no neurologic impairment and was discharged on the second postoperative day. The postoperative follow-up showed a well-excluded penetrating aortic ulcer.

摘要

我们介绍了一例75岁的男性，其症状性穿透性主动脉溃疡位于左锁骨下动脉和左颈动脉之间的弓内曲线2区，使用单分支胸主动脉腔内修复术结合原位激光开窗术治疗。患者进行了一次成功的手术，没有神经系统损害，并在术后第二天出院。术后随访显示排除良好的穿透性主动脉溃疡。