腋拐诱发腋动脉瘤导致复发性肱动脉栓塞：一例报告

Recurrent brachial artery embolism caused by a crutch-induced axillary artery aneurysm: report of a case.

作者信息

Morisaki Koichi, Kuma Sosei, Okazaki Jin

机构信息

Department of Vascular Surgery of Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-Ku, Kitakyushu, Fukuoka, 802-8555, Japan,

出版信息

Surg Today. 2014 Jul;44(7):1355-8. doi: 10.1007/s00595-013-0642-1. Epub 2013 Jun 27.

DOI:10.1007/s00595-013-0642-1

PMID:23807637

Abstract

We report a case of axillary artery aneurysm with brachial artery embolism in a 60-year-old man who had walked with the assistance of axillary crutches all of his life since poliomyelitis during infancy had left him with lower limb paralysis. We performed bypass grafting from the axillary to brachial artery with exclusion of the aneurysm. An axillary artery aneurysm is rare, but potentially lethal for the upper extremity; therefore, surgical treatment should be considered.

摘要

我们报告了一例60岁男性的腋动脉瘤合并肱动脉栓塞病例。该患者自婴儿期患脊髓灰质炎导致下肢瘫痪后，一生都借助腋拐行走。我们进行了腋动脉至肱动脉的旁路移植术，同时排除动脉瘤。腋动脉瘤较为罕见，但对上肢有潜在致命风险；因此，应考虑手术治疗。