Medina Carlos R, Indes Jeffrey, Smith Christopher
Department of Surgery, Temple University Hospital, Philadelphia, PA 19140, USA.
J Vasc Surg. 2006 Jun;43(6):1278-82. doi: 10.1016/j.jvs.2006.02.025.
Pseudoaneurysms of abdominal aorta after inferior vena cava (IVC) filter placement are uncommon, with associated morbidity and mortality. We report a case in which an abdominal aortic pseudoaneurysm resulted from erosion of a Bird's Nest (Cook, Bloomington, IN) IVC filter into the wall of the abdominal aorta. A 64-year-old woman with an IVC filter placed 10 years prior presented to the emergency department complaining of abdominal pain. A computed tomography scan of the abdomen and pelvis showed a 1.4-cm x 2.0-cm infrarenal aortic pseudoaneurysm adjacent to the IVC filter site. A Zenith endograft (Cook) was used via an open femoral artery exposure to successfully treat the pseudoaneurysm.
下腔静脉（IVC）滤器置入后腹主动脉假性动脉瘤并不常见，且伴有发病和死亡风险。我们报告一例因鸟巢式（库克公司，印第安纳州布卢明顿）IVC滤器侵蚀腹主动脉壁导致腹主动脉假性动脉瘤的病例。一名10年前置入IVC滤器的64岁女性因腹痛就诊于急诊科。腹部和骨盆的计算机断层扫描显示，在IVC滤器部位附近有一个1.4厘米×2.0厘米的肾下腹主动脉假性动脉瘤。通过开放股动脉暴露，使用了一款天顶覆膜支架（库克公司）成功治疗了该假性动脉瘤。
