Bailey R W, Riles T S, Rosen R J, Sullivan L P
Department of Surgery, New York University Medical Center.
J Vasc Surg. 1991 Aug;14(2):229-34. doi: 10.1067/mva.1991.28728.
The development of aneurysmal disease involving the rarely encountered celiomesenteric anomaly is extremely unusual. Aneurysmal disease of the celiac or superior mesenteric arteries is itself an extremely uncommon finding, accounting for less than 10% of all visceral artery aneurysms. The existence of aneurysmal disease involving a celiomesenteric anomaly has been alluded to only briefly in two previous clinical reports. We review the case of a young woman with aneurysmal disease involving a common celiomesenteric trunk. The patient underwent excision of the aneurysm with successful vascular reconstruction. Although extremely unusual, the development of this extremely rare lesion can be predicted on the basis of specific etiologic theories. Variations in the patterns of embryologic formation of the visceral arteries account for the development of celiomesenteric anomalies, whereas atherosclerosis, medial degeneration, and infection lead to the development of most visceral aneurysms. Surgical treatment of celiac or mesenteric aneurysms is almost always indicated. Awareness of potential vascular anomalies and patterns of collateral circulation are necessary for appropriate surgical intervention.
涉及罕见的腹腔肠系膜异常的动脉瘤性疾病的发展极为罕见。腹腔或肠系膜上动脉的动脉瘤性疾病本身就是一种极其罕见的发现，占所有内脏动脉瘤的比例不到10%。之前仅有两份临床报告简要提及了涉及腹腔肠系膜异常的动脉瘤性疾病的存在。我们回顾了一例患有涉及共同腹腔肠系膜干的动脉瘤性疾病的年轻女性病例。该患者接受了动脉瘤切除术，并成功进行了血管重建。尽管极为罕见，但基于特定的病因理论，可以预测这种极其罕见病变的发展。内脏动脉胚胎形成模式的变化导致了腹腔肠系膜异常的发生，而动脉粥样硬化、中层退变和感染则导致了大多数内脏动脉瘤的发生。腹腔或肠系膜动脉瘤几乎总是需要进行手术治疗。认识到潜在的血管异常和侧支循环模式对于适当的手术干预是必要的。
