Damascelli Bruno, Bartorelli Antonio L, Ticha Vladimira, Trabattoni Daniela, Lanocita Rodolfo
Department of Radiology, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133 Milano, Italy.
Cardiovasc Intervent Radiol. 2008 Jul;31 Suppl 2:S88-91. doi: 10.1007/s00270-007-9110-x.
A large aneurysm of the left renal artery was found incidentally during abdominal ultrasound in a 39-year-old woman with no medical or family history of cardiovascular disease. Vascular pathology with a dysplastic appearance was confirmed by magnetic resonance angiography and the patient was offered transcatheter embolization. Since the position and size of the neck of the aneurysm could not be determined at angiography, detachable platinum coils were used for occlusion. The procedure was performed without complications. During a 4-year follow-up no alterations of renal function, recanalization of the aneurysm, or perfusion defects in the rest of the left renal circulation were noted.
一名39岁无心血管疾病病史及家族史的女性在腹部超声检查时偶然发现左肾动脉有一个大动脉瘤。磁共振血管造影证实了血管病变呈发育异常外观,并为患者提供了经导管栓塞治疗。由于在血管造影时无法确定动脉瘤颈部的位置和大小,因此使用可脱卸铂金线圈进行闭塞。手术过程无并发症。在4年的随访期间,未发现肾功能改变、动脉瘤再通或左肾其余循环灌注缺损。