Endovascular repair of a ruptured, extremely tortuous, descending thoracic aorta aneurysm with aortic coarctation

被引：0

作者：

Hoogewerf, Marieke ^{[1
,2
,6
]}

van Geldorp, Martijn W. A. ^{[3
]}

Scholten, Joep G. F. ^{[4
]}

Vos, Jan Albert ^{[5
]}

Heijmen, Robin H. ^{[1
]}

机构：

[1] St Antonius Hosp Nieuwegein, Dept Cardiothorac Surg, Nieuwegein, Netherlands

[2] Univ Med Ctr Utrecht, Dept Cardiol, Utrecht, Netherlands

[3] Amphia Hosp, Dept Cardiothorac Surg, Breda, Netherlands

[4] St Antonius Hosp Nieuwegein, Dept Anaesthesiol, Nieuwegein, Netherlands

[5] St Antonius Hosp Nieuwegein, Dept Intervent Radiol, Nieuwegein, Netherlands

[6] St Antonius Hosp Nieuwegein, Dept Cardiothorac Surg, Koekoekslaan 1, NL-3534 CM Nieuwegein, Netherlands

来源：

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2022年 / 8卷 / 03期

关键词：

Aortic coarctation; Descending thoracic aortic aneurysm; Endovascular repair; TEVAR; Tortuosity; OPEN SURGICAL REPAIR; DISEASE; MANAGEMENT; SURGERY;

D O I：

10.1016/j.jvscit.2022.07.004

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We have presented a case of a ruptured descending aortic aneurysm that was accompanied by extreme tortuosity and a pseudocoarctation at the level of the ligamentum arteriosum. We performed successful endovascular repair, covering the left subclavian artery, using a transapical-to-femoral artery (through-and-through) guidewire technique to overcome the tortuosity, with the option to perform balloon angioplasty in the case of an increased gradient over the coarctation. In the present case report, we have underlined the role of close collaborations with aortic expertise centers. (J Vasc Surg Cases Innov Tech 2022;8:480-3.)

引用

页码：480 / 483

页数：4

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