胸主動脈病變 Cardiothoracic diseases
Wong RHL, Yu PSY, Kwok MWT, Chow SCY, Ho JYK, Underwood MJ, Yu SCH. Ann Thorac Surg. 2017 Jun;103(6):e479-e482. doi: 10.1016/j.athoracsur.2016.12.039. PMID: 28528045.
Abstract
We describe a case of total arch replacement with frozen elephant trunk for chronic type B aortic dissecting aneurysm, which resulted in inadvertent landing of the frozen elephant trunk into the false lumen. A radiofrequency puncture system-assisted controlled endovascular fenestration of the dissection flap was performed at the upper abdominal aorta and subsequent thoracic endovascular stenting, successfully redirecting the blood flow from the false to the true lumen. Our case illustrated a possible way to seal distal reentry in chronic type B aortic dissection.
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