Schneider Claus G, Kortmann Helmut
Department of General, Thoracic and Viceral Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
J Vasc Surg. 2007 Jan;45(1):186-7. doi: 10.1016/j.jvs.2006.08.075.
We report a left common carotid artery pseudoaneurysm in a 47-year-old bricklayer with no prior surgical procedures or acute neck injury. At operation, the pseudoaneurysm was found to be related to ongoing injury to the carotid artery from the tip of the hyoid bone. The most likely explanation for this was that the patient's job required that he carry cement panniers weighing about 15 kg on his left shoulder and that these panniers repeatedly compressed the left side of his neck, thus forcing the carotid against the hyoid.
我们报告了一例47岁的砖匠，他没有既往手术史或急性颈部损伤，却出现了左颈总动脉假性动脉瘤。手术中发现，假性动脉瘤与舌骨尖端对颈动脉的持续损伤有关。对此最可能的解释是，患者的工作要求他左肩扛着约15公斤重的水泥篓，这些水泥篓反复压迫他的颈部左侧，从而迫使颈动脉抵向舌骨。
