伴有巨大静脉瘤样扩张的脾动静脉瘘的血管内治疗
Endovascular management of splenic arteriovenous fistula with giant venous aneurysmal dilatation.
作者信息
Hamed Ibrahim Wael, M Bassurrah Hana
机构信息
Medical Imaging Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
出版信息
Ann Vasc Dis. 2012;5(4):439-44. doi: 10.3400/avd.cr.12.00009. Epub 2012 Nov 15.
Abstract
Although splenic artery aneurysm is the commonest visceral and third most common intra abdominal aneurysm after aorta and iliac artery, aneurysm of splenic artery along with aneurysm of splenic vein and arteriovenous fistula is a rare entity. Most of them are <3 cm in diameter. Giant true splenic artery aneurysms are rare and very few lesions >10 cm have been reported. We report a case of 11 cm × 8 cm giant splenic vein aneurysm with splenic arteriovenous fistula as the 1st case of giant splenic venous aneurysm with arteriovenous fistula managed by endovascular treatment.
摘要
尽管脾动脉瘤是最常见的内脏动脉瘤，也是继主动脉和髂动脉之后腹腔内第三常见的动脉瘤，但脾动脉动脉瘤连同脾静脉动脉瘤和动静脉瘘是一种罕见的情况。它们大多数直径小于3厘米。巨大的真性脾动脉瘤很少见，报道的大于10厘米的病变非常少。我们报告一例11厘米×8厘米的巨大脾静脉动脉瘤合并脾动静脉瘘，这是首例通过血管内治疗的巨大脾静脉动脉瘤合并动静脉瘘。
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