一个罕见的血管挑战:手臂动脉附带性伪动脉瘤通过静脉移植进行管理
Mario Malangone1, Nunzio Montelione1, Vincenzo Catanese1
1Department of Vascular Surgery, Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Case reports in surgery
|October 6, 2025
概括
这一案例研究突出显示了一种罕见的上肢伪动脉瘤. 开放静脉自重建证明对这种大臂动脉附带分支伪动脉瘤有效.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 干预性放射学 干预性放射学
背景情况:
- 上肢伪动脉瘤是不常见的.
- 腕动脉附带分支的参与特别罕见.
- 一位78岁的妇女出现了脉动性质块和手臂功能障碍,没有创伤.
研究的目的:
- 报告一个罕见的,在大臂动脉附带分支中的大型伪动脉瘤病例.
- 讨论双重超声波的诊断实用性.
- 为了评估开放静脉自主重建对这种特定条件的疗效.
主要方法:
- 使用双重超声波进行诊断.
- 手术干预:在全身麻醉下进行开放性修复.
- 使用反向基底静脉插座移植与端到端解剖的动脉重建.
主要成果:
- 双重超声波检测出来自臂动脉附带分支的大型伪动脉瘤 (38x29x46毫米).
- 通过静脉自身重建成功进行了开放性修复.
- 手术后的随访证实了移植的通透性,缺少狭窄,并且没有远端缺血.
结论:
- 开放性静脉自主重建是大动脉附带分支的大型压缩性神经动脉瘤的有效治疗方法.
- 双重超声波对于诊断和手术规划至关重要.
- 这种方法为上肢罕见的血管病变提供了可行的解决方案.
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