一个独特的案例,一个6厘米破裂的尾动脉动脉瘤,导致大腿区综合征
Dushan Miladinovic1, Timothy Shiraev2
1Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Vascular and endovascular surgery
|November 21, 2025
概括
一个破裂的脊柱动脉动脉瘤 (PAA) 在一个81岁的男性中引起了大腿区综合征和血液动力学不稳定. 用覆盖式支架进行的内血管修复成功排除了PAA,挽救了肢体.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
背景情况:
- 脊柱动脉动脉瘤 (PAA) 是一种罕见的血管疾病.
- 由于解剖抵抗,PAA破裂通常不会导致快速的血液动力学不稳定.
- 在PAA破裂后的小腿区综合征是一种非常罕见的并发症.
研究的目的:
- 为了突出一个罕见的 popliteal 动脉动脉瘤破裂的序列:大腿区综合征与血液动力学妥协.
- 报告一个破裂的PAA导致显著的大腿血液瘤和隔间综合征的独特病例.
- 为了强调这种罕见并发症的成功管理.
主要方法:
- 一个81岁的男性患有破裂的PAA的病例报告.
- 计算机断层扫描血管图 (CTA) 用于诊断和表征PAA和血液瘤.
- 使用覆盖式支架进行急需的内血管修复,随后进行带切除.
主要成果:
- 患者出现了血液动力学损害和大腿腔综合征,这是PAA破裂的次要原因.
- CTA证实了破裂的PAA与大后大腿血液瘤.
- 血管内修复和筋切除术成功进行,从而挽救了四肢和血液动力学稳定.
结论:
- 用覆盖式支架进行内血管修复是高风险,不稳定的患有破裂PAA的患者的安全和有效选择.
- 这种方法可以快速排除动脉瘤,挽救四肢和血液动力学稳定.
- 这一案例强调了在PAA破裂中考虑隔间综合征的重要性,即使是异常呈现.
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