一种罕见的组合，即胸主动脉结核性动脉瘤和肾下腹主动脉退行性动脉瘤。
An unusual combination of a tuberculous aneurysm of the thoracic aorta and a degenerative aneurysm of the infrarenal abdominal aorta.
作者信息
Avaro Jean-Philippe, Amabile Philippe, Paule Philippe, Peloni Jean-Michel, Piquet Philippe
机构信息
Department of Thoracic Surgery, Military Hospital Laveran, Marseille, France.
出版信息
Ann Vasc Surg. 2011 Jul;25(5):700.e9-700.e12. doi: 10.1016/j.avsg.2010.12.034.
Tuberculous aneurysms of the aorta are rare and give rise to various issues related to their diagnosis and treatment. In this article, we report on an exceptional case concerning a patient who presented with a false tuberculous aneurysm of the thoracic aorta and a degenerative aneurysm of the infrarenal abdominal aorta concomitantly. A discussion on how we approached the diagnosis and devised a therapeutic strategy that allowed us to treat this dual aortic disease effectively has also been provided. The discussion includes details of the order of treatment and the choice between an endovascular and a surgical approach.
主动脉结核性动脉瘤较为罕见，在诊断和治疗方面会引发各种问题。在本文中，我们报告了一例特殊病例，该患者同时患有胸主动脉假性结核性动脉瘤和肾下腹主动脉退行性动脉瘤。本文还讨论了我们如何进行诊断并制定治疗策略，从而有效治疗这种双重主动脉疾病。讨论内容包括治疗顺序的细节以及血管内治疗和手术治疗方法的选择。
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