中间弧形带压缩多个动脉在一个年轻人通过手术释放治疗的年轻人
Eswaravaka Saikrishana1, Balakrishnan Selvakumar1, Taruna Yadav2
1Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, India.
Vascular and endovascular surgery
|February 20, 2026
概括
中间弧形带 (MAL) 综合征可以压缩多个动脉. 这一案例突出显示了MAL压缩在乳房动脉和右动脉上的成功手术释放,解决了患者的症状.
科学领域:
- 血管外科 血管外科
- 腹部成像 腹部成像 腹部成像
- 胃肠病学 胃肠病学
背景情况:
- 中间弧形带 (MAL) 压缩腹腔动脉 (CA) 是常见的,但同时压缩其他动脉是罕见的.
- 一名20岁的男性出现了食后胃上部疼痛和体重减轻,这表明了潜在的血管损害.
研究的目的:
- 报告一种罕见的同时发生的MAL压缩病例,影响CA和右动脉 (RRA).
- 讨论多动脉MAL压缩的诊断和治疗方法.
主要方法:
- CT血管图 (CTA) 显示,由于MAL,近端CA和RRA显著缩小.
- 进行了MAL的手术释放,需要从腹腔镜转换为开放程序.
- 术内发现证实了在CA和RRA来源的MAL压缩.
主要成果:
- 患者经历了完整的症状解消,体重增加,以及手术后正常化的功能.
- 后续的CTA证实了CA和RRA的成功解压.
- 手术干预在治疗双动脉压缩方面是有效的.
结论:
- 仔细检查CTA上的所有腹部上部动脉对于识别潜在的MAL压缩至关重要.
- 同时手术治疗多个受影响的动脉是可行的和有益的.
- 这一案例强调了在怀疑MAL综合征时进行全面血管评估的重要性.
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