One case of transluminal replacement of a giant aortic arch aneurysm with artificial vessel
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摘要: 巨大主动脉弓部瘤非常罕见，治疗较棘手。现报道1例罕见的巨大主动脉弓动脉瘤，大小为141 mm×118 mm×123 mm，采用4分支血管经瘤腔内进行弓部3个分支的重建和胸腔主动脉远端的吻合，结果令人满意。同时，选择正确的体外循环方式和合适的手术吻合技术对于手术的成功也非常重要。此病例为中国报道的最大的主动脉弓动脉瘤之一。Abstract: Giant aortic arch aneurysms are very rare and the conventional treatment of it is difficult. We reported one case of a rare giant aortic arch aneurysms with a size of 141 mm×118 mm×123 mm, treated by endovascular replacement of four-branch vessel prosthesis and the four-branch vessel prosthesis was sutured through the lumen of the aneurysm to the thoracic descending. The outcome is satisfactory. At the same time, it is very important to choose the correct method of extracorporeal circulation and the appropriate surgical anastomosis technique for the successful operation. As far as we know, we are one of the largest aortic arch aneurysms reported in China.
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Key words:
- giant aortic arch aneurysm /
- transluminal replacement /
- vessel prosthesis
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