创伤性肠系膜上动脉至脾静脉瘘的血管内修复术。

Endovascular repair of traumatic superior mesenteric artery to splenic vein fistula.

作者信息

Al-Khayat Haitham, Haider Hani H, Al-Haddad Abdullah, Al-Khayat Hisham, Ginzburg Enrique

机构信息

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida 33136, USA.

出版信息

Vasc Endovascular Surg. 2007;41(6):559-63. doi: 10.1177/1538574407305022.

DOI:10.1177/1538574407305022

PMID:18166641

Abstract

Traumatic mesenteric arterioportal fistulas (APF) are rare but serious and life-threatening. This article reports the case of a 24-year-old female who suffered a gunshot wound to the abdomen and subsequently developed a superior mesenteric artery (SMA) pseudoaneurysm and APF, which caused secondary right heart failure and pulmonary hypertension. The patient underwent a successful endovascular stent-graft exclusion of the pseudoaneurysm/APF. The patient was asymptomatic 18 months post procedure and leading an active life with a normal arterial flow in the SMA confirmed by duplex ultrasonography.

摘要

创伤性肠系膜动门脉瘘（APF）虽罕见，但病情严重且危及生命。本文报告了一名24岁女性的病例，该患者腹部遭受枪伤，随后出现肠系膜上动脉（SMA）假性动脉瘤和APF，进而导致继发性右心衰竭和肺动脉高压。患者接受了成功的血管内支架植入术以排除假性动脉瘤/APF。术后18个月，患者无症状，通过双功超声检查证实SMA动脉血流正常，生活积极。