血管内治疗导致慢性腹痛的肝动脉动脉瘤：病例报告。
Endovascular treatment of a hepatic artery aneurysm causing chronic abdominal pain; a case report.
机构信息
Alysis Zorggroep, Location Rijnstate, Department of Surgery, Arnhem, The Netherlands.
出版信息
Ann Hepatol. 2010 Jan-Mar;9(1):104-6.
BACKGROUND
Aneurysms of the visceral arteries are rare but potentially lethal lesions. We describe a case of a successful endovascular exclusion of a hepatic artery aneurysm in a patient that suffered from chronic abdominal pain.
CASE REPORT
A 68-year old man presented with chronic abdominal pain that had existed for 10 months. A diagnostic contrast-enhanced CT scan showed an 18 mm atherosclerotic aneurysm of the hepatic artery. When other pathology was excluded the aneurysm was excluded using an ePTFE-covered nitinol stentgraft. Post-deployment angiograms showed a complete exclusion of the aneurysm. The abdominal complaints immediately resolved. After a follow-up period of 18 months patient had a patent endograft and remained free of symptoms.
CONCLUSIONS
Small hepatic artery aneurysms may cause chronic recurrent abdominal pain and can be safely excluded using a covered stentgraft.
背景
内脏动脉的动脉瘤比较少见，但却是潜在致命的病变。我们描述了一例成功的肝动脉动脉瘤的血管内隔绝术治疗，该患者有慢性腹痛病史。
病例报告
一位 68 岁男性因慢性腹痛就诊，腹痛病史长达 10 个月。诊断性增强 CT 扫描显示肝动脉有一个 18mm 的粥样硬化性动脉瘤。当排除其他疾病后，使用 ePTFE 覆膜的镍钛合金支架进行了动脉瘤隔绝。术后血管造影显示动脉瘤完全隔绝。腹部症状立即缓解。随访 18 个月后，患者的血管内移植物保持通畅，且无任何症状。
结论
小的肝动脉动脉瘤可能导致慢性反复发作的腹痛，使用覆膜支架可安全地进行隔绝。
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