Heim C, Rosso R
Service de Chirurgie, Ensemble Hospitalier de la Côte, Hôpital de Morges.
Swiss Surg. 2001;7(2):90-4. doi: 10.1024/1023-9332.7.2.90.
The cystic adventitial degeneration of the external iliac artery is an extremely rare disorder with only 10 cases described in literature. It should be considered as the possible origin of unilateral claudication symptoms with sudden onset in relatively young individuals without other vascular disorders. Further investigations should be done before admission to surgical therapy. The classic surgical procedure consists in arterial excision and interposition grafting with saphenous vein. We report one case treated by exarterectomy without recurrence after three years.
髂外动脉囊性外膜退变是一种极为罕见的疾病，文献中仅描述了10例。对于相对年轻且无其他血管疾病却突然出现单侧跛行症状的患者，应考虑此病为可能的病因。在接受手术治疗前，应进一步进行检查。经典的手术方法是动脉切除并用人隐静脉进行间置移植。我们报告1例接受动脉切除术治疗的病例，3年后未复发。
