源自第四鳃弓的主动脉弓部动脉瘤的腔内治疗

doi:10.3969/j.issn.1671-167X.2015.03.032

北京大学学报（医学版） ›› 2015, Vol. 47 ›› Issue (3): 548-550. doi: 10.3969/j.issn.1671-167X.2015.03.032

源自第四鳃弓的主动脉弓部动脉瘤的腔内治疗

张学民1*△，孙占国1*，郑宝石2△，黄凯3，张小明1，蒋京军1，何长顺1

（1. 北京大学人民医院血管外科，北京100044； 2. 广西医科大学第一附属医院心外科，南宁530021； 3. 广西医科大学第一附属医院心内科，南宁530021）

出版日期:2015-06-18 发布日期:2015-06-18

Endovascular treatment of a rare type of aortic arch aneurysm derived from the fourth aortic arch

ZHANG Xue-min1*△, SUN Zhan-guo1*, ZHENG Bao-shi2△, HUANG Kai3, ZHANG Xiao-ming1, JIANG Jing-jun1, HE Chang-shun1

(1. Department of Vascular Surgery, Peking University People’s Hospital, Beijing 100044, China; 2. Department of Cardiac Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China; 3. Department of Cardiology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China)

Online:2015-06-18 Published:2015-06-18

摘要/Abstract

关键词: 主动脉瘤, 胸, 先天畸形, 血管内手术

Abstract: Objective：To report a rare type of aortic arch aneurysm. Methods: Three cases of aortic arch aneurysm derived from the fourth aortic arch were retrospectively analyzed. The pathogenesis and treatment of this type of aortic arch aneurysm were investigated. Results: Most of the aneurysm body was located in the Z2 zone, which was the stem from the fourth aortic arch in the embryonic development period. All of the 3 cases could not be explained by common etiology. We speculated that the cause might be developmental anomaly of the fourth aortic arch. All the 3 aortic arch aneurysms were totally excluded with a covered stent. The technical success rate was 100%. Endoleak of type Ⅰ was seen in one case, which was resolved in a later open surgery. During the follow-up, no type of complications was found. Conclusion:To the best of our knowledge, this is the first report of this type of aortic arch aneurysm. The cause may be developmental anomaly of the fourth aortic arch. Endovascular treatment of this type of aortic arch aneurysm is feasible.

Key words: Aortic aneurysm, thoracic, Congenital abnormalities, Endovascular procedures

中图分类号:

R543.16

张学民, 孙占国, 郑宝石, 黄凯, 张小明, 蒋京军, 何长顺. 源自第四鳃弓的主动脉弓部动脉瘤的腔内治疗[J]. 北京大学学报（医学版）, 2015, 47(3): 548-550.

ZHANG Xue-Min, SUN Zhan-Guo, ZHENG Bao-Shi, HUANG Kai, ZHANG Xiao-Ming, JIANG Jing-Jun, HE Chang-Shun. Endovascular treatment of a rare type of aortic arch aneurysm derived from the fourth aortic arch[J]. Journal of Peking University(Health Sciences), 2015, 47(3): 548-550.

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源自第四鳃弓的主动脉弓部动脉瘤的腔内治疗

Endovascular treatment of a rare type of aortic arch aneurysm derived from the fourth aortic arch

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