一个罕见的右近接下关节动脉动脉瘤:一个病例报告
Dianzhu Ding1, Guangwei Jiang1, Xiaoming Shi1
1Department of Vascular Surgery, Hebei General Hospital, No. 348 Heping West Road, Shijiazhuang 050051, Hebei, China.
Journal of surgical case reports
|June 30, 2025
概括
巨型关节下动脉动脉瘤是罕见的,但可以引起严重的症状. 紧急支架植入有效治疗患有大动脉瘤的患者,解决胸痛和呼吸道阻塞.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 胸部外科手术 胸部外科手术
背景情况:
- 关节底动脉动脉瘤 (SAA) 是一种不常见的血管疾病.
- 巨大的SAA带来了重大风险,包括破裂和气道压缩.
- 早期诊断和干预对于有利的结果至关重要.
研究的目的:
- 报告一个罕见的巨型右下关节动脉动脉瘤病例,出现胸痛和呼吸障碍.
- 评估内血管支架修复在治疗这种疾病中的有效性.
主要方法:
- 一名75岁的女性出现了暗示动脉瘤破裂前和气道阻塞的症状.
- 计算机断层扫描证实一个大,南瓜形状的右近位SAA.
- 使用直径可变的覆盖式支架通过右侧常见动脉和臂脑动脉的方法进行了紧急手术修复.
主要成果:
- 内血管支架植入技术上是成功的.
- 患者在术后经历了胸痛和呼吸障碍的完全消失.
- 26个月后的随访显示持续的积极结果没有症状的复发.
结论:
- 一个下降直径覆盖的支架,通过右侧常见动脉输送,是巨大的关节下动脉动脉瘤的可行和有效的治疗方法.
- 这种内血管方法为复杂的SAA病例提供了最少侵入性的解决方案.
- 及时干预可以防止灾难性的破裂,并缓解阻塞性症状.
相关概念视频
The Arch of Aorta
2.2K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
Arteries of the Upper Limbs
3.4K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
3.4K
Aneurysm I: Introduction
660
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
660
Aneurysm II: Clinical Manifestations and Diagnostic Studies
593
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
593
Aneurysm III: Interprofessional Care
479
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
479


