Spirito Rita, Trabattoni Piero, Pompilio Giulio, Zoli Stefano, Agrifoglio Marco, Biglioli Paolo
Department of Cardiovascular Surgery, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
J Vasc Surg. 2007 May;45(5):1076-9. doi: 10.1016/j.jvs.2006.12.038.
Here we report a rare case of a 74-year-old man with a pseudoaneurysm of the anterior tibial artery and a concomitant arteriovenous fistula (AVF). The patient was admitted because of increasing pain following the formation of a large mass located in the anterior mid-portion of the calf after a moderate non-penetrating blunt trauma. A polytetrafluoroethylene-covered stent was placed over the origin of the pseudoaneurysm, with complete exclusion of the pseudoaneurysm and disappearance of the AVF. One year after the procedure the mass had completely disappeared and the vascular anatomy of the calf is well preserved.
在此,我们报告一例罕见病例,一名74岁男性患有胫前动脉假性动脉瘤并伴有动静脉瘘(AVF)。患者因中度非穿透性钝性创伤后小腿前部中部形成巨大肿块并伴有疼痛加剧而入院。在假性动脉瘤起源处放置了一个聚四氟乙烯覆盖的支架,假性动脉瘤完全被排除,动静脉瘘消失。手术后一年,肿块完全消失,小腿的血管解剖结构保存完好。