期刊
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
卷 48, 期 2, 页码 144-146出版社
W B SAUNDERS CO LTD
DOI: 10.1016/j.ejvs.2014.05.011
关键词
Aneurysm; Aortic valve; Arch; Endograft
资金
- Cook Medical
Introduction: Endovascular repair of aortic arch aneurysms using an inner-branched device is a new treatment option for patients unfit for open surgery. There are many anatomical restrictions, such as the presence of a mechanical aortic valve that can contraindicate this complete endovascular approach. Report: A new delivery system to overcome this issue has been developed. This new system was used to treat an aortic arch aneurysm 77 mm in diameter in a 37-year-old patient with Marfan's syndrome. The patient was considered to be at major risk for open surgery because of severe respiratory insufficiency following a second sternotomy. Discussion: Total endovascular arch aneurysm repair is no longer contraindicated in patients with a mechanical aortic valve. (C) 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
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