内动脉动脉瘤在一个患有近端闭塞在其起源的患者
Sahaj S Shah1, Gayatri S Pillai1, Matthew Major2
1Geisinger Commonwealth School of Medicine, Scranton, PA.
概括
一个破裂的右内动脉动脉瘤在一个87岁的老人身上成功地修复了. 动脉瘤在之前的腹腔大动脉动脉瘤修复后通过附带血管逆行填充.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 动脉瘤研究 动脉瘤研究
背景情况:
- 动脉动脉瘤可能具有挑战性,特别是在之前的腹腔大动脉动脉瘤 (AAA) 修复后.
- 通过附带循环来填充阴动脉动脉瘤的逆向填充是一种罕见但关键的并发症.
- 在AAA修复过程中,内动脉的绑定可以改变流动动力学并促进附带发育.
研究的目的:
- 报告一个突破右内动脉动脉瘤的独特病例.
- 描述先前有大动脉双叶旁路术的患者动脉瘤的逆行填充机制.
- 要突出成功的开放手术管理这个复杂的演示.
主要方法:
- 一个87岁的男性患有脑膜炎的病例介绍.
- 使用腹部计算机断层扫描 (CT) 进行诊断成像,以评估动脉瘤的大小和填充.
- 涉及开放修复动脉瘤排除的手术干预.
主要成果:
- 一个大 (8.9厘米) 的右内动脉动脉瘤被确定.
- 动脉瘤显示逆向填充通过附带血管,可能来自大腿深部动脉.
- 成功的开放性修复排除了动脉瘤,没有术后并发症.
结论:
- 破裂的内动脉动脉瘤需要及时诊断和管理.
- 从深大腿动脉的附带填充是后AAA修复患者的潜在机制.
- 开放式手术修复仍然是成功管理这些复杂动脉瘤的可行选择.
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