深大腿动脉动脉瘤的急性血栓性阻塞
Tomoki Nishimura1, Hiromitsu Nota1, Keiji Matsubayshi1
1Department of Cardiovascular Surgery, Omihatiman Community Medical Center, Tsuchidacho, Omihachiman, Shiga 523-0082, Japan.
Journal of surgical case reports
|February 2, 2026
概括
股骨深层动脉动脉瘤 (PFAA) 是一种罕见的疾病,由于血栓形成,导致大腿疼痛. 这种大腿动脉动脉瘤的手术修复和相关的常见大腿动脉动脉瘤导致了成功的恢复.
科学领域:
- 血管外科 血管外科
- 医学案例报告 病例报告
背景情况:
- 深大腿动脉动脉瘤 (PFAA) 是一种非常罕见的外周动脉病变.
- 常见的PFAA与破裂或沟/大腿胀有关.
研究的目的:
- 报告一个深大腿动脉动脉瘤 (PFAA) 病例,由于血栓性阻塞而出现急性大腿疼痛.
- 描述与常见的股骨动脉动脉瘤 (CFAA) 共同存在的PFAA的成功手术治疗.
主要方法:
- 一名74岁的男性患者出现了急性大腿疼痛.
- 与对比增强的计算机断层扫描 (CECT) 显示了左侧PFAA血栓化和左侧表面大腿动脉的部分血栓化,以及CFAA.
- 外科干预包括PFAA绑定,CFAA假肢移植置换和侧环大腿动脉分支重建.
主要成果:
- 患者的症状通过全身肝激素化得到缓解.
- 由于复发性血栓形成和破裂的风险,进行了选择性手术.
- 手术后的随访证实了优秀的移植透度和保存的大腿输液.
结论:
- 手术干预是治疗有症状的股骨深动脉动脉瘤 (PFAA) 与常见的股骨动脉动脉瘤 (CFAA) 并存的可行的选择.
- 这一案例强调了对罕见的外围动脉病变及时诊断和治疗的重要性,以预防并发症.
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