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奥特纳综合征是由于大动脉虚动脉瘤引起的,这是由于大动脉内脏肉瘤引起的

Akio Shimoji¹, Naoto Fukunaga¹, Tatsuto Wakami¹

¹Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.

Journal of vascular surgery cases and innovative techniques

|February 26, 2025

概括

一种罕见的主动脉内脏肉瘤导致了伪动脉瘤,导致左喉神经和声. 手术修复显示,瘤侵入了大动脉壁.

科学领域:

心血管外科心血管外科
在瘤学瘤学.
病理学病理学病理学

背景情况:

声可能表明喉神经的复发.
大动脉伪动脉瘤是一种罕见但严重的血管疾病.
大动脉内皮肉瘤是一种非常罕见的恶性瘤.

研究的目的:

报告一个由内肉瘤引起的前动脉虚动脉瘤的独特病例.
突出这一罕见疾病的诊断挑战和临床表现.
强调对大动脉病理的彻底病理检查的重要性.

主要方法:

一个38岁的男性突然声的案例介绍.
诊断工作包括光纤喉腔镜和计算机断层扫描血管学.
手术干预以全动脉门置换和随后的病理分析.

主要成果:

在左下关节动脉起源的44毫米大动脉伪动脉瘤的二次性左侧复发性喉神经麻的诊断.
在手术期间发现了内脏缺陷和状病变.
手术后的病理学证实了大动脉的未分化内脏肉瘤是伪动脉瘤的原因.

结论:

不分化的内脏肉瘤可以表现为大动脉伪动脉瘤.
声带麻可能是大动脉病理的一个不寻常的症状.
早期诊断和手术治疗对于罕见的大动脉恶性瘤至关重要.

关键词:

大动脉内部肉瘤的大动脉内部肉瘤这是奥特纳综合征.

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