<正>病例资料患者,女,10岁。出生后发现心脏杂音,易感冒,轻度发绀,哭闹后加重。体检:发育差,心率125次/分,律齐,胸骨左缘第2、3肋间可闻及吹风样收缩期杂音,肺动脉第2音亢进。心电图:右心室肥厚,心房扩大。胸片示两肺血多,肺动脉段凸出,右心室增大,心胸比率0.55。超声心动图:先天性心脏病,右心室双出口、室间隔缺损、房间隔缺损、永存左上腔静脉。右心导管检查:先天性心脏病右室双出口、室间隔缺损(主动脉瓣下)、肺动脉狭窄;主动脉根部造影:冠状动脉左

Objective:To investigate the feasibility of transluminal stent-graft placement(TSGP) for the treatment of aortic disease.Methods: Aortic lesions included 13(65%) type B dissections,3(15%) atherosclerotic aneurysms,2(10%) pseudoaneurysms,1(5%) penetrating ulcer,1(5%) thoracic aorta with local dissection and 1(5%) thoracic aorta with stanford B dissection.Underwent TSGP using 3 types of grafts: US Relay-Made Stent-Graft(10 prostheses),Domestic-Made Stent-Graft(10 prostheses) and COOK-Made Stent-Graft(1 prosthesis).Results: Twenty-one stents were successfully implanted in 19 cases including 17 cases with 1 main stents and 2 cases with 2 main stents.Two cases were implanted with both main and cuff stents.Technical success was achieved in all patients.There was no severe procedure-related complication and accidents,such as paraplegia and angiorrhexis.There was no perioperative mortality.Nineteen cases had no leakage.Early leakage was observed in 2 patients.In one leakage resolved spontaneously when 7 days at postoperative CT angiography;in 1 case(type II),it was managed with continued observation.One late leakage case was observed at 8 months after TSGP and treatment was converted to surgery.Conclusion: For the treatment of aortic dissection,atherosclerotic aneurysm,pseudoaneurysm and penetrating ulcer,TSGP has a high successful rate and less invasiveness,but further observation will be needed for evaluation of long-term results.