Yukios Umeda, Matsuno Yukihiro, Imaizumi Matsuhisa, Mori Yoshio, Iwata Hitoshi, Takiya Hiroshi
Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu, Japan.
Ann Vasc Dis. 2009;2(3):185-9. doi: 10.3400/avd.AVDcr09010. Epub 2010 Mar 29.
We describe the first Marfan syndrome case of non-traumatic bilateral radial artery aneurysms in the anatomical snuff box. A 74-year-old woman with Marfan syndrome had a pulsatile mass in her bilateral anatomical snuff box. The color Doppler ultrasonography showed an aneurysm of radial artery located in the bilateral anatomical snuff box. Resection of the right radial artery aneurysm was completed without complications. Histopathological analysis showed a true aneurysm with atherosclerotic changes in the arterial wall. We review the literature on non-traumatic or bilateral radial artery aneurysm in the anatomical snuff box, and discuss the clinical presentation and surgical management.
我们描述了首例发生于解剖学鼻烟壶处的非创伤性双侧桡动脉动脉瘤的马方综合征病例。一名74岁的马方综合征女性患者双侧解剖学鼻烟壶处出现搏动性肿块。彩色多普勒超声检查显示双侧解剖学鼻烟壶处桡动脉存在动脉瘤。右侧桡动脉动脉瘤切除手术顺利完成，无并发症。组织病理学分析显示为真性动脉瘤，动脉壁有动脉粥样硬化改变。我们回顾了有关解剖学鼻烟壶处非创伤性或双侧桡动脉动脉瘤的文献，并讨论了其临床表现及手术治疗方法。
