TEVAR术后支架远端主动脉夹层先兆破裂经再次TEVAR术救治1例并文献分析

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Abstract Standford type B aortic dissection is dangerous and has a high mortality rate. Once this disease is diagnosed, immediate surgery is needed. Thoracic endovascular aortic repair (TEVAR) is the first treatment for Standford type B aortic dissection, but distal stent rupture has become a complication of TEVAR, which is very important to deal with. The author analyzes the clinical data of one patient with rupture of distal aortic dissection after TEVAR treated by TEVAR one more on May 24, 2018 in Suining Central Hospital of Sichuan Province. It was found that the distal stent ruptured into thoracic cavity after TEVAR, then the patients were treated by TEVAR again and assisted by shock correction, hypoproteinemia correction, thoracic drainage and thoracentesis as the main comprehensive treatment, the postoperative recovery is good, with no serious complications. It is suggested that TEVAR is an effective treatment for Standford B aortic dissection.

Key words： Standford type B aortic dissection Thoracic endovascular aortic repair Complication Pleural effusion

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	HE Yiwei1
	2 XIONG Pan3 ZHANG Yongheng1 LIU Jianping1 TANG Xiaojiao1

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HE Yiwei1,2 XIONG Pan3 ZHANG Yongheng1 LIU Jianping1 TANG Xiaojiao1. One case with threatened rupture of distal aortic dissection after TEVAR treated by TEVAR one more and literature analysis[J]. 中国医药导报, 2019, 16(21): 167-171.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I21/167

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