Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1 Omorinishi, Ota-ku, Tokyo, 143-8541, Japan.
Surg Today. 2010 Nov;40(11):1079-83. doi: 10.1007/s00595-010-4360-7. Epub 2010 Nov 3.
A 73-year-old male patient was found to have an abdominal aortic aneurysm complicated with bilateral common iliac artery aneurysms. He also had hepatitis C, chronic liver cirrhosis (Child-Pugh class B), a rupture of esophageal varices, hepatocellular carcinoma, and intractable ascites. The functions of other systemic organs were also impaired. We first performed a right internal iliac artery coil embolization prior to stent graft implantation combined with a left external-internal iliac artery bypass. These additional procedures allowed for safe treatment with stent graft implantation, without any serious complications.
一位 73 岁男性患者被发现患有腹主动脉瘤，同时合并双侧髂总动脉瘤。他还患有丙型肝炎、慢性肝硬化（Child-Pugh 分级 B 级）、食管静脉曲张破裂、肝细胞癌和难治性腹水。其他全身器官的功能也受到了损害。我们首先在支架植入术之前进行了右侧髂内动脉线圈栓塞，然后进行了左侧髂外-髂内动脉旁路术。这些附加手术使我们能够安全地进行支架植入术治疗，没有出现任何严重并发症。
