无名动脉穿透性动脉粥样硬化性溃疡动脉瘤

Penetrating atherosclerotic ulcer aneurysm of the innominate artery.

作者信息

Yuan S-M, Tager S

机构信息

Department of Cardiac and Thoracic Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Vasa. 2009 Aug;38(3):263-6. doi: 10.1024/0301-1526.38.3.263.

DOI:10.1024/0301-1526.38.3.263

PMID:19736640

Abstract

Penetrating atherosclerotic ulcer of the aorta is uncommon, and usually develops in the descending thoracic aorta. Rarely this condition involves the branch vessels of the aorta. We report a case of ruptured aneurysm of the innominate artery resulting from penetrating atherosclerotic ulcer. Open surgery was the treatment of choice for the ruptured aneurysm, while conservative treatment was recommended for the associated penetrating atherosclerotic ulcers of the descending aorta.

摘要

主动脉穿透性动脉粥样硬化溃疡并不常见，通常发生在胸降主动脉。这种情况很少累及主动脉分支血管。我们报告一例由穿透性动脉粥样硬化溃疡导致的无名动脉动脉瘤破裂病例。对于破裂的动脉瘤，手术治疗是首选，而对于胸降主动脉相关的穿透性动脉粥样硬化溃疡，建议采用保守治疗。