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腹腔大动脉动脉瘤的开放手术管理与重复的右常见门动脉
Neha H Shetty1, Alex Rothstein1, Krish Kondisetti2
1School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Journal of vascular surgery cases and innovative techniques
|October 27, 2025
概括
本案例研究详细介绍了首次报告的双重右常见门动脉的病例,该病例发生在接受腹腔大动脉动脉瘤修复的患者身上. 手术干预确保了成功的血液流向下肢.
科学领域:
- 血管外科 血管外科
- 解剖学的变化 解剖学的变化
- 主动脉动脉瘤疾病 主动脉动脉瘤疾病
背景情况:
- 腹腔大动脉瘤 (AAA) 是一个重要的血管问题,特别是在吸烟和高血压等风险因素的患者中.
- 动脉解剖学的变化可以使AAA修复复杂化,可能增加缺血的风险.
- 一个重复的右常见阴动脉是一个非常罕见的解剖学发现.
研究的目的:
- 报告第一个复制右常见门动脉的记录病例.
- 描述在这种罕见的门动脉异常存在的情况下,腹腔大动脉动脉瘤的外科治疗方法.
- 在复杂的阴茎解剖学中强调结直肠缺血的考虑.
主要方法:
- 评估了一名69岁的男性患者,他的腹腔大动脉动脉瘤有5.7厘米.
- 计算机断层扫描血管学发现了重复的右常见门动脉和缺席的胃下动脉.
- 腹腔大动脉动脉瘤的开放性手术修复是由于不寻常的阴道解剖学而进行的.
主要成果:
- 患者的腹腔大动脉动脉瘤的开放性手术修复成功完成.
- 手术后的康复没有任何事件,没有并发症.
- 在手术后,证实了两只下肢的正常输液.
结论:
- 这一病例代表了第一个重复的右常见阴动脉复制案例.
- 复杂的门动脉解剖学需要精心的手术前规划,以修复腹腔大动脉瘤.
- 即使在罕见的解剖学变异的情况下,也可以获得成功的外科结果.
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