Porcu P, Marongiu G M, Bacciu P P
Service de Chirurgie Vasculaire, Université de Sassari, Italie.
J Mal Vasc. 2002 Apr;27(2):88-92.
Aneurysm of the celiac trunk is uncommun, accounting for 6% of all splanchnic artery aneurysms. Atherosclerosis is the main cause, other causes include fibrodysplasia and more rarely mycotic or post-stenotic conditions. Usually asymptomatic, detection is generally fortuitous. Ultrasound, angiography and CT scan provide the positive diagnosis. Rupture is the most serious complication. The risk is about 13% per year with high mortality (80%). Cure can be achieved by conventional or endovascular surgery. We report an aneurysm of the bifurcation of the celiac trunk in a 70-year-old woman. Diagnosis was fortuitous. The aneurysm was sacciform with a 2.5 cm diameter and a large collar. Because of its locations and shape, no endovascular procedure could be attemped. Reconstruction with a patch was achieved with conventional surgery. The post-operative period was uneventful. Ultrasound at 3, 6, 12 and 36 months showed a normal caliber with regular blood flow in the reconstructed vessels.
腹腔干动脉瘤较为罕见，占所有内脏动脉动脉瘤的6%。动脉粥样硬化是主要病因，其他病因包括纤维发育异常，更罕见的有霉菌性或狭窄后病变。通常无症状，一般偶然发现。超声、血管造影和CT扫描可作出阳性诊断。破裂是最严重的并发症。每年破裂风险约为13%，死亡率很高（80%）。可通过传统手术或血管内手术治愈。我们报告一例70岁女性的腹腔干分叉处动脉瘤。诊断是偶然发现的。动脉瘤为囊状，直径2.5厘米，有一个大蒂。由于其位置和形状，无法尝试血管内手术。通过传统手术用补片进行了重建。术后过程顺利。术后3、6、12和36个月的超声检查显示重建血管管径正常，血流规则。
