[MEP-24] 中央大动脉综合征在成年人呈现四肢缺血症
Dilşad Amanvermez Şenarslan1, Halil Demren1, Ömer Tetik1
1Department of Cardiovascular Surgery, Manisa Celal Bayar University, Faculty of Medicine, Manisa, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|May 5, 2025
概括
中动脉综合征 (MAS) 是一种罕见的动脉狭窄,可以引起严重的腿部疼痛. 开放式手术,如甲双关节绕道,有效地治疗了一名患有下大动脉缩和阴动脉封闭的成年患者.
科学领域:
- 心血管医学 心血管医学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 中大动脉综合征 (MAS) 是一种罕见的疾病,其特征是大动脉的细分狭窄,占大动脉缩的0.5-2%.
- 它可以是先天性或获得的,与Takayasu动脉炎,神经纤维素瘤和纤维肌力发育不良等疾病有关.
- 狭窄症通常会影响下主动脉,经常伴随着脏和内脏动脉的参与.
研究的目的:
- 报告成年人中部大动脉综合征的病例,因下大动脉和上动脉封闭而出现严重的腿痛.
- 为了突出成功的手术管理这个条件在一个成年患者.
- 强调儿童早期诊断的重要性,以预防严重高血压.
主要方法:
- 一个66岁的男性中部大动脉综合征的病例报告.
- 诊断成像包括胸腔腹部计算机断层扫描血管学.
- 治疗涉及开放的手术修复与一个aortobifemoral绕道移植.
主要成果:
- 这名患者出现了和休息疼痛,这种疼痛归因于下主动脉缩和双侧阴动脉封闭.
- 胸腔腹部计算机断层扫描血管学揭示了一个狭窄的下主动脉,带有沙钟外观和远端阴道遮.
- 成功的甲双关节旁路手术解决了远端脉冲和腿部疼痛,并在术后第六天出院.
结论:
- 开放式手术,特别是大动脉双关节绕道,是成年中动脉综合征的有效治疗方法,其中包括下大动脉和腹动脉.
- 儿童的早期诊断和干预对于预防严重高血压的发展至关重要.
- 虽然开放式手术是首要的,但在某些情况下,内血管治疗可能会提供一种不那么侵入性的替代方案.
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