Fann James I, Samuels Shaun, Slonim Suzanne, Burdon Thomas A, Dalman Ronald L
Department of Cardiothoracic Surgery, Division of Vascular Surgery Stanford University Medical Center, VA Palo Alto HCS, 94305, USA.
J Vasc Surg. 2002 Apr;35(4):811-4. doi: 10.1067/mva.2002.121744.
Intraabdominal anastomotic pseudoaneurysms continue to be a late complication of aortic reconstructive procedures. Early surgical repair is critical but is associated with high operative mortality rates. We present a patient who was diagnosed with a distal anastomotic pseudoaneurysm 13 months after transabdominal repair of a symptomatic abdominal aortic aneurysm. Because of the poor operative risk, the patient was considered for a less invasive approach and underwent coil embolization of the abdominal aortic anastomotic pseudoaneurysm. The patient remains without recurrence of pseudoaneurysm 3.5 years later.
腹内吻合口假性动脉瘤仍然是主动脉重建手术的一种晚期并发症。早期手术修复至关重要，但与高手术死亡率相关。我们报告一例患者，在经腹修复有症状的腹主动脉瘤13个月后被诊断为远端吻合口假性动脉瘤。由于手术风险高，考虑为该患者采用侵入性较小的方法，对腹主动脉吻合口假性动脉瘤进行了弹簧圈栓塞术。3.5年后，该患者假性动脉瘤未复发。
