Maleux G, Pirenne J, Aerts R, Nevens F
Department of Radiology, University Hospitals Gasthuisberg, Herestraat, Belgium.
Br J Radiol. 2005 May;78(929):453-6. doi: 10.1259/bjr/12679319.
A 69-year-old woman presented with massive upper gastrointestinal bleeding owing to a ruptured hepatic pseudoaneurysm located at the surgical arterial anastomosis, 2 months after combined liver and kidney transplantation. Initially the pseudoaneurysm was successfully coiled but 3 weeks later recurrence of her symptoms occurred. Hepatic angiography revealed partial reperfusion of the coiled pseudoaneurysm; definitive treatment was performed by placement of an expanded-polytetrafluoroethylene (e-PTFE) covered coronary stent-graft, completely excluding the pseudoaneurysm. Radiological follow-up studies demonstrate a patent stent-graft functioning normally.
一名69岁女性在肝肾联合移植术后2个月，因位于手术动脉吻合处的肝假性动脉瘤破裂出现大量上消化道出血。最初，假性动脉瘤成功进行了弹簧圈栓塞，但3周后症状复发。肝脏血管造影显示弹簧圈栓塞的假性动脉瘤部分再通；最终通过置入膨体聚四氟乙烯（e-PTFE）覆膜冠状动脉支架移植物进行治疗，完全隔绝了假性动脉瘤。影像学随访研究显示支架移植物通畅且功能正常。
