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目的 探讨腔内治疗脑梗死合并右位主动脉弓及Kommerell憩室的治疗效果.方法 回顾性分析入住首都医科大学宣武医院血管外科的1例脑梗死合并右位主动脉弓及Kommerell憩室患者的治疗情况.结果 脑梗死内科治疗一个月后行胸主动脉覆膜支架植入术隔绝Kommerell憩室,术后支架形态良好,支架内血流通畅,无手术并发症发生.结论 腔内治疗脑梗死合并右位主动脉弓及Kommerell憩室安全可行,其临床效果需要进一步的远期随访.“,”Objective To investigate the effect of endovascular treatment of cerebral infarction with right aortic arch and Kommerell’s diverticulum.Methods Retrospective analysis was done to assess the treatment effect of a case from vascular surgery,Xuanwu Hospital of Capital Medical University.This case was diagnosed as cerebral infarction with right aortic arch and Kommerell’s diverticulum.Results One month after the treatment of cerebral infarction,we successfully used the thoracic aortic stent to isolate the Kommerell’s diverticulum.There were no operative complications occurred.The stent had good shape and smooth blood flow was seen in the stent.Conclusions Endovascular treatment to cerebral infarction with right aortic arch and Kommerell’s diverticulum is safe and feasible,and the clinical outcome requires further long-term follow-up.