Tratamento endovascular de dissecção crônica toracoabdominal complicada com aneurisma torácico, mediante implante de endoprótese vascular

Revista do Colégio Brasileiro de Cirurgiões

Gaudencio Espinosa²  Jesus Antonio Carvalho Abreu¹  Adalberto Pereira Araujo¹ 

[1] ,UFRJ

关键词: Aneurysm;    Descending toracic aorta;    Chronic aortic dissection;    Endovascular;    stent-graft;   

DOI  :  10.1590/S0100-69912000000300015

来源: SciELO

【 摘 要 】

Our objective is to report a case of a patient with a descending thoracic aortic aneurysm and chronic aortic dissection, who was submitted to an endovascular treatment. A 68-year-old male with coronary artery disease and hypertension, with no history of trauma, diabetes or smoking. He had myocardial infarction ten years ago. Under general anesthesia, the left femoral artery was surgically exposed and the left braquial artery was catheterized with a "pigtail" catheter, under Seldinger technique. The proximal 46mm/Æ and distal 34mm/Æ stent-graft was placed just distal to the origen of the left subclavian artery. Control arteriography showed that the lesion was completely excluded. The patient was discharged seven days after the surgery, when a computed tomographic control, was performed showing a sustained aneurysm exclusion and a satisfactory endovascular position.

【 授权许可】

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