白塞病患者腹腔干和腹主动脉瘤的血管内修复术。

Endovascular repair of concomitant celiac trunk and abdominal aortic aneurysms in a patient with Behçet's disease.

作者信息

Bautista-Hernández Víctor, Gutierrez Francisco, Capel Antonio, García-Puente Julio, Arribas José M, Ray Víctor G, Robles Diego, Arcas Ramón

机构信息

Regional Service of Cardiovascular Surgery, University Hospital Virgen de la Arrixaca, E-30120 El Palmar, Murcia, Spain.

出版信息

J Endovasc Ther. 2004 Apr;11(2):222-5. doi: 10.1583/03-1037.1.

DOI:10.1583/03-1037.1

PMID:15056032

Abstract

PURPOSE

To report endovascular repair of dual aneurysms in a patient with Behçet's disease.

CASE REPORT

A 37-year-old man diagnosed 6 months prior with Behçet's disease presented with a pulsating abdominal mass. Computed tomography revealed a 70-mm-diameter pseudoaneurysm in the abdominal aorta and another (20 mm) in the celiac trunk 5 mm from the aorta. Staged endovascular repair began with the aortic aneurysm, which was excluded with a bifurcated 23 x 140-mm Excluder stent-graft. Three days later, 2 Jostent stent-grafts were placed in the celiac trunk, successfully excluding the lesion. Fifteen days later, the patient was discharged on a regimen of clopidogrel, cyclosporine, and warfarin. At 6 months, the CT scan showed good perfusion of the stent-grafts.

CONCLUSIONS

Aneurysmal involvement of the celiac trunk in a patient with Behçet's disease is a rare pathology that appears amenable to stent-graft repair.

摘要

目的

报告白塞病患者双动脉瘤的血管内修复情况。

病例报告

一名6个月前被诊断为白塞病的37岁男性，出现腹部搏动性肿块。计算机断层扫描显示腹主动脉有一个直径70毫米的假性动脉瘤，在距主动脉5毫米的腹腔干还有另一个（直径20毫米）假性动脉瘤。分期血管内修复从主动脉瘤开始，使用一个23×140毫米的分叉型Excluder覆膜支架将其隔绝。三天后，在腹腔干置入2个Jostent覆膜支架，成功隔绝病变。15天后，患者出院，服用氯吡格雷、环孢素和华法林。6个月时，CT扫描显示覆膜支架血运良好。