Zünd G, Enzler M, Gyr U, Brunner U
Abteilung für Periphere Gefässchirurgie, Universitätsspital Zürich.
Vasa. 1992;21(4):424-8.
We report on a young patient who underwent numerous arterial interventions after injury to the right groin. After several years, a popliteal anastomotic aneurysm, unidentified at that time, began to cause recurrent peripheral emboli. The importance of an intensive search for the source of the emboli is demonstrated. Bland arteriography does not rule out the presence of an aneurysm and should prompt further investigation with duplex-sonography and/or MR-imaging. Aneurysms causing recurrent peripheral emboli are an absolute indication for surgery.
我们报告了一名年轻患者,其右腹股沟受伤后接受了多次动脉介入治疗。数年后,当时未被发现的腘动脉吻合口动脉瘤开始导致反复的外周栓塞。这表明了深入寻找栓子来源的重要性。普通血管造影不能排除动脉瘤的存在,应促使进一步采用双功超声和/或磁共振成像进行检查。导致反复外周栓塞的动脉瘤是手术的绝对指征。