巨型脏动脉动脉瘤:一个病例报告
Visagan Srimurugathas1, Vinojan Satchithanantham2, Mathievanan Sivalingam3
1Post Graduate Institute of Medicine University of Colombo, Sri Lanka.
International journal of surgery case reports
|January 16, 2026
概括
巨型脏动脉动脉瘤很少见,但很危险. 本案例报告详细介绍了大型动脉瘤的成功开放性手术修复和切除术,强调了复杂病例的手术管理.
科学领域:
- 血管外科 血管外科
- 腹部动脉瘤 腹部动脉瘤
背景情况:
- 巨型动脉动脉瘤 (GSAA) 不常见,但具有显著的破裂风险.
- 破裂可能导致危及生命的出血.
研究的目的:
- 报告一个巨大的脏动脉动脉瘤的病例.
- 突出GSAA手术干预的管理和结果.
主要方法:
- 一个77岁的男性病例报告,患有12x11x9.7厘米的巨型动脉动脉瘤.
- 这位患者出现了左下体的不适.
- 治疗包括开放性动脉瘤切除术和脊髓切除术.
主要成果:
- 在开放性动脉瘤切除和脊髓切除术后,患者的康复没有任何事件.
- 这一案例强调了复杂GSAA手术管理的有效性.
结论:
- 开放式手术修复,有或没有脊髓切除术,是巨型脏动脉动脉瘤的可行和成功的治疗方法.
- 治疗选择取决于动脉瘤的特征,患者因素和外科专业知识.
相关概念视频
Aneurysm I: Introduction
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...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
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...
Aneurysm III: Interprofessional Care
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...


