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在胰腺二切除手术期间遇到Bühler弧

Joyce Yu¹, Ali Mohtashami², Jaswinder Samra²

¹The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia joyce.y197@gmail.com.

BMJ case reports

|January 8, 2025

概括

在手术过程中发现了一种罕见的血管变异 - - 布勒尔弧 (Arc of Bühler). 绕道移植成功恢复了肝动脉的血液流向,患者患有动脉狭窄症.

科学领域:

血管外科血管外科
胃肠道解剖学胃肠道解剖学
外科手术病例报告

背景情况:

布勒弧 (Arc of Bühler,简称AoB) 是一种罕见的解剖变异,涉及到脏动脉和上层介质动脉之间的异常血管.
了解血管异常对于手术规划和患者的结果至关重要.

研究的目的:

报告一个独特的案例血动力学显著的布勒弧在动脉狭窄的背景下.
为了说明这种罕见的血管变异的成功手术管理.

主要方法:

在胃肠道血管外科手术期间,对Bühler弧的手术内识别.
涉及插座跳跃移植的手术干预,使用长沙芬静脉.
通过胃关节动脉恢复对肝动脉的动脉供应.

主要成果:

发现布勒弧可以补充肝动脉本身的动脉供应,这是由于心脏动脉狭窄造成的.
一个成功的插座跳跃移植手术恢复了足够的血液流动.
患者经历了很好的术后恢复.

结论:

这一案例强调了识别和理解胃肠道血管结构的解剖学变异的重要性.
术前评估和规划对于管理复杂的血管病例至关重要,如这种Bühler弧形变异.

关键词:

解剖学的变化解剖学的变化一般外科手术是一般的.

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