术中支架人工血管置入术治疗主动脉弓降部假性动脉瘤  

Frozen elephant trunk implantation for pseudoaneurysms of the distal aortic arch and descending aorta

作　　者：李建荣 郑军 刘永民 许尚栋 李宇 孙立忠 Li Jianrong;Zheng Jun;Liu Yongmin;Xu Shangdong;Li Yu;Sun Lizhong(Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Engineering Research Center for Vascular Prostheses, Beijing 100029, China;Department of Medical Imaging, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China)

机构地区：[1]首都医科大学附属北京安贞医院北京市心肺血管疾病研究所北京市大血管外科植入式人工材料工程技术研究中心心外科5病区,100029 [2]首都医科大学附属北京安贞医院北京市心肺血管疾病研究所医学影像科,100029

出　　处：《中华胸心血管外科杂志》2019年第8期454-457,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的总结术中支架人工血管置入术治疗主动脉弓降部假性动脉瘤的初步经验。方法对北京安贞医院心脏大血管外科2009年3月至2017年12月术中支架人工血管置入术治疗的所有主动脉弓降部假性动脉瘤患者进行资料收集和随访。结果共14例患者纳入研究,其中男13例,女1例,年龄(41.0±14.8)岁。住院期间死亡1例,近期并发症包括二次开胸止血1例,迟发心包积液行心包开窗术1例。随访(32.3±22.2)个月,随访期间死亡1例。结论术中支架人工血管置入术治疗主动脉弓降部假性动脉瘤,可以取得较好的治疗效果。Objective To review the outcomes of the frozen elephant trunk implantation in patients with pseudoaneurysms of the distal aortic arch and descending aorta. Methods From March 2009 to December 2017, patients with pseudoaneurysms of the distal aortic arch and descending aorta who underwent the frozen elephant trunk implantation were enrolled. Patient demographic, preoperative, intraoperative, early morbidity and mortality data were collected from medical and electronic patient records. Clinical follow-up data, including late morbidity and mortality, were obtained by telephone interview with the patient. Results A total of 14 patients were included, 13 males and 1 females, aged( 41.0±14.7) years. Early mortality rate was 7.14%(1/14). The cause of death was rupture of the distal descending thoracic aorta. The early complications included reexploration for bleeding in 1 patient and pericardial window for delayed pericardial effusion in 1 patient. The mean follow-up was(32.3±22.3) months. There was 1 late death from severe pulmonary infection. Conclusion The frozen elephant trunk implantation is an appropriate therapeutic strategy for patients with pseudoaneurysms of the distal aortic arch and descending aorta.

关 键 词：主动脉 动脉瘤 术中支架人工血管置入术 

分 类 号：R654.2[医药卫生—外科学]