[A 型主动脉夹层的主动脉移植物置换术后缝合线开裂导致的主动脉夹层的血管内治疗:两个病例的报告]。

Journal of the Korean Society of Radiology Pub Date : 2024-05-01 Epub Date: 2024-04-29 DOI:10.3348/jksr.2023.0142
Woo Jin Shim, Young Hwan Kim
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引用次数: 0

摘要

主动脉吻合口漏是急性主动脉夹层升主动脉置换术后一种不常见的并发症。重新手术是传统的标准治疗方法,尽管死亡率和发病率都很高。最近,一些病例报告尝试采用血管内治疗作为替代方法。在此,我们介绍了两例因 A 型主动脉夹层进行主动脉移植物置换术后缝合线开裂而导致主动脉吻合口漏的病例,这两例病例均成功接受了线圈治疗,随后进行了氰基丙烯酸丁酯栓塞术和 Amplatzer™ 血管栓塞术。
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[Endovascular Treatment of Aortic Dissection due to Suture Line Dehiscence after Aortic Graft Replacement for Type A Aortic Dissection: A Report of Two Cases].

Aortic anastomotic leak is an uncommon complication after ascending aortic replacement for acute aortic dissection. Redo-surgery is the traditional standard treatment despite high mortality and morbidity. Recently, endovascular treatment has been attempted as an alternative approach in a few case reports. Here, we present two cases of aortic anastomotic leak due to suture line dehiscence after aortic graft replacement for type A aortic dissection, which were successfully treated by coil with subsequent N-butyl cyanoacrylate embolization and an Amplatzer™ vascular plug.

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