A 67-year-old man had left upper lung cancer with invasion into the descending aorta. He underwent pre-emptive thoracic endovascular aortic repair using a Valiant Navion followed by left lung upper lobectomy with resection of the aortic wall. Because of continuous bleeding, he underwent re-thoracotomy. Since the surgically resected aortic wall was largely cleaved, bleeding around the stent-graft that herniated into the left pleural cavity was observed. Re-thoracic endovascular aortic repair using a GORE TAG was immediately performed to prevent further stent-graft herniation and impending lethal haemorrhage. It may be necessary to consider reinforcement of the resected aortic wall to prevent thoracic endovascular aortic repair-related complications.

中文翻译：

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肺癌患者通过主动脉壁的胸主动脉覆膜支架疝

一名 67 岁男子左上肺癌侵犯降主动脉。他使用 Valiant Navion 进行了先发制人的胸腔血管内主动脉修复术，随后进行了左肺上肺叶切除术并切除了主动脉壁。由于持续出血，他接受了再次开胸手术。由于手术切除的主动脉壁大部分裂开，因此观察到支架移植物周围有出血，突出到左侧胸膜腔。立即使用 GORE TAG 进行胸腔内主动脉血管内修复，以防止进一步的支架移植物突出和即将发生的致命性出血。可能有必要考虑对切除的主动脉壁进行加固，以防止胸腔内主动脉修复相关并发症。