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[腘动脉瘤手术的罕见并发症:一例报告及手术技术探讨]

[Unusual complication of surgery of popliteal artery aneurysm: report of a case and considerations on the surgical technique].

作者信息

Cinelli Júnior M, Kauffman P, Sacilotto R, Muraco B

出版信息

AMB Rev Assoc Med Bras. 1991 Jul-Sep;37(3):157-9.

PMID:1668545
Abstract

A popliteal artery aneurysm was submitted to an exclusion surgery and autologous reversed saphenous vein bypass. The proximal ligation of the popliteal artery was performed 3cm above the aneurysm. A large branch of the artery below this point remained patent maintaining a communication with a branch of deep femoral artery. Due to this fact residual circulation inside the aneurysm was observed. The patient was reoperated in order to ligate the collateral branch and resect part of the aneurysm. This kind of complication of the technique proposed by Edwards is not common and does not invalidate this technique preferred by most surgeons.

摘要

一名腘动脉瘤患者接受了血管腔内隔绝术及自体大隐静脉转流术。腘动脉近端结扎部位位于动脉瘤上方3厘米处。在此点下方的动脉一大分支仍保持通畅,与股深动脉一分支保持连通。鉴于此,观察到动脉瘤内存在残余血流。患者接受再次手术,以结扎侧支分支并切除部分动脉瘤。爱德华兹提出的这项技术的此类并发症并不常见,也不会使这项大多数外科医生首选的技术无效。

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