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置换左肝动脉破裂性动脉瘤致失血性休克：诊断与治疗的挑战

Ruptured aneurysm of replaced left hepatic artery as a cause of haemorrhagic shock: a challenge of diagnosis and treatment.

作者信息

Altaca Gulum

机构信息

Department of General Surgery and Transplantation, Baskent University, Faculty of Medicine, Istanbul Hospital, Istanbul, Turkey.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):220-2. doi: 10.1093/icvts/ivr013. Epub 2011 Nov 28.

DOI:10.1093/icvts/ivr013
PMID:22159233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3279964/
Abstract

An isolated, spontaneous, ruptured aneurysm of the replaced left hepatic artery (LHA) arising from the left gastric artery, in a 72-year-old female, leading to haemorrhagic shock treated by surgical ligation is reported. To our best knowledge, this is the second case report of a ruptured hepatic artery aneurysm in this location. A thorough knowledge of hepatic arterial anatomy and variations, and prompt diagnosis and urgent surgical intervention are necessary in such a potentially lethal condition.

摘要

据报道，一名72岁女性出现源于胃左动脉的移植左肝动脉孤立性、自发性破裂动脉瘤，导致失血性休克，通过手术结扎进行治疗。据我们所知，这是该部位肝动脉动脉瘤破裂的第二例病例报告。对于这种潜在致命疾病，深入了解肝动脉解剖结构及变异情况，并迅速诊断和进行紧急手术干预是必要的。

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Ruptured aneurysm of replaced left hepatic artery as a cause of haemorrhagic shock: a challenge of diagnosis and treatment.置换左肝动脉破裂性动脉瘤致失血性休克：诊断与治疗的挑战
Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):220-2. doi: 10.1093/icvts/ivr013. Epub 2011 Nov 28.
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本文引用的文献

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Superior mesenteric artery branch--jejunal artery aneurysm.肠系膜上动脉分支——空肠动脉动脉瘤
Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):859-61. doi: 10.1510/icvts.2010.243253. Epub 2010 Sep 16.
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Ruptured hepatic artery aneurysm presenting as abdominal pain: a case report.以腹痛为表现的肝动脉动脉瘤破裂：一例病例报告。
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Arterial diameter of the celiac trunk and its branches. Anatomical study.腹腔干及其分支的动脉直径。解剖学研究。
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Are hepatic arteries end-arteries?肝动脉是终末动脉吗？
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