大型肾动脉瘤及相关动静脉瘘的体外修复
Ex vivo repair of a large renal artery aneurysm and associated arteriovenous fistula.
作者信息
Torres Gustavo, Terramani Thomas T, Weaver Fred A
机构信息
Department of Surgery, Division of Vascular Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033-4612, USA.
出版信息
Ann Vasc Surg. 2002 Mar;16(2):141-4. doi: 10.1007/s10016-001-0155-z. Epub 2002 Feb 13.
The development of a renal artery to vein arteriovenous fistula due to a large extraparenchymal renal artery aneurysm is uncommon. Previous surgical experience with this entity is limited. Based on the existing surgical literature, nephrectomy has been the treatment of choice. We report preservation of the kidney by surgical correction of this entity using ex vivo "bench" repair in a middle-aged female with fibromuscular dysplasia of the renal artery. The technique, results, and recommendations for surgical management are discussed.
因巨大肾实质外肾动脉瘤导致肾动脉至静脉动静脉瘘的情况并不常见。以往针对该病症的手术经验有限。根据现有的外科文献，肾切除术一直是首选的治疗方法。我们报告了一例患有肾动脉纤维肌发育不良的中年女性，通过体外“手术台”修复对该病症进行手术矫正从而保留肾脏的病例。文中讨论了该技术、结果以及手术管理的建议。
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