Cruz J S, Teixeira J F, Braga A R
Department of Vascular Surgery, S. Joao Hospital, Oporto, Portugal.
Int Angiol. 2000 Sep;19(3):288-9.
Aortoiliac aneurysms constitute one of the main challenges facing vascular surgeons worldwide. We report for the first time the successful reconstruction of the aorta and iliac arteries with a quadrifurcated prosthesis, in a 72-year-old man with an infrarenal abdominal aortic aneurysm, and aneurysms of the iliac arteries involving both iliac bifurcations. The aortoiliac reconstruction was performed with a quadrifurcated knitted Dacron graft, revascularising both internal and external iliac arteries. In our opinion, the use of such a graft is recommended in aortoiliac revascularisations whenever it is advisable for the preservation of flow to internal iliac arteries.
腹主动脉髂动脉瘤是全球血管外科医生面临的主要挑战之一。我们首次报告了一名72岁患有肾下腹主动脉瘤及累及双侧髂总动脉分叉处髂动脉瘤的男性患者，成功使用四分叉假体进行了主动脉和髂动脉重建。采用四分叉编织涤纶移植物进行腹主动脉髂动脉重建，使双侧髂内、外动脉均恢复血运。我们认为，在腹主动脉髂动脉血运重建中，只要有利于保留髂内动脉血流，建议使用这种移植物。
