Patel K S, Wolfe J H, Mathias C
Department of Vascular Surgery, St Mary's Hospital, London, United Kingdom.
Neth J Surg. 1990 Aug;42(4):118-20.
A case of acute lower limb ischaemia due to spontaneous dissection of the left external iliac artery and coincidental bilateral renal artery aneurysms is reported. Histopathological examination of the resected iliac artery showed features of fibromuscular dysplasia. Dissection of the external iliac artery without involvement of the aorta is extremely rare with only two previously reported cases. The aetiology and management of fibromuscular dysplasia is discussed.
本文报告一例因左髂外动脉自发性夹层形成并合并双侧肾动脉动脉瘤导致的急性下肢缺血病例。对切除的髂动脉进行组织病理学检查显示为纤维肌性发育异常的特征。髂外动脉夹层而不累及主动脉极为罕见,此前仅报道过两例。本文还讨论了纤维肌性发育异常的病因及治疗。