Igari Kimihiro, Kudo Toshifumi, Toyofuku Takahiro, Jibiki Masatoshi, Inoue Yoshinori
Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Ann Vasc Dis. 2013;6(3):637-41. doi: 10.3400/avd.cr.13-00024. Epub 2013 Aug 30.
The purpose of this study was to review the experience of aneurysms in the upper limbs treated with surgery and assess the outcomes.
This study retrospectively reviewed the medical records of five patients with upper extremity aneurysms treated with surgical resection at Tokyo Medical and Dental University Hospital between March 2000 and February 2012. These patients were treated with excision surgery either with or without reconstructive surgery.
Two of the five patients were males and three were females with a mean age of 52 years (age range: 25-72 years). We treated 2 brachial, 2 ulnar, and 1 radial aneurysms. All aneurysms were excised, and two patients had reconstructive surgery. Three patients had false aneurysms, which included an ulnar artery aneurysm diagnosed as angiolymphoid hyperplasia with eosinophilia. During follow-up period, all grafts were clinically patent, and no cases had recurrent lesions. No patients had ischemic symptoms or any other postoperative complications.
Arterial aneurysms of the upper extremities are uncommon, and were most commonly caused by non-traumatic etiology in this series. These aneurysms were excised with or without reconstructive surgery, because of the fear of rupture and embolization. Revascularization can be performed selectively.
本研究旨在回顾上肢动脉瘤的手术治疗经验并评估治疗结果。
本研究回顾性分析了2000年3月至2012年2月间在东京医科齿科大学医院接受手术切除治疗的5例上肢动脉瘤患者的病历。这些患者接受了单纯切除手术或联合重建手术。
5例患者中2例为男性，3例为女性，平均年龄52岁（年龄范围：25 - 72岁）。我们治疗了2例肱动脉瘤、2例尺动脉瘤和1例桡动脉瘤。所有动脉瘤均被切除，2例患者接受了重建手术。3例患者为假性动脉瘤，其中1例尺动脉动脉瘤被诊断为伴有嗜酸性粒细胞增多的血管淋巴样增生。在随访期间，所有移植物在临床上均保持通畅，无复发病例。无患者出现缺血症状或任何其他术后并发症。
上肢动脉动脉瘤并不常见，在本系列中最常见的病因是非创伤性的。由于担心破裂和栓塞，这些动脉瘤无论是否进行重建手术均被切除。可选择性地进行血运重建。
