一名年轻男性因埃尔代姆-格塞尔（Erdheim-Gsell）型囊性中膜退变导致孤立性髂动脉夹层自发性破裂。
Spontaneous rupture of an isolated iliac artery dissection in a young man because of cystic medial degeneration Erdheim-Gsell.
作者信息
Dueppers Philip, Jankowiak Silvia, Schelzig Hubert, Wagenhäuser Markus U, Oberhuber Alexander
机构信息
Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.
Department of Pathology, University Hospital of Duesseldorf, Duesseldorf, Germany.
出版信息
Ann Vasc Surg. 2015 Apr;29(3):596.e11-3. doi: 10.1016/j.avsg.2014.10.041. Epub 2015 Jan 14.
BACKGROUND
Rupture of isolated iliac artery dissections is a life-threatening event and has not been associated with cystic medial degeneration (CMD) Erdheim-Gsell.
METHODS
A young man presented to our emergency unit in a critical hemodynamic condition. Computed tomography scan feigned the rupture of an internal iliac artery.
RESULTS
Surprisingly, we found a ruptured dissection of the common iliac artery during open surgery. Reconstruction was done by Dacron graft interposition between common and internal iliac artery and external iliac artery implantation into the graft. Histology revealed CMD.
CONCLUSIONS
Spontaneous iliac artery dissection and rupture can be caused by CMD and requires immediate surgical intervention.
背景
孤立性髂动脉夹层破裂是一种危及生命的事件，与Erdheim-Gsell囊性中膜退变（CMD）无关。
方法
一名年轻男性在严重血流动力学状态下被送至我们的急诊科。计算机断层扫描显示髂内动脉破裂。
结果
令人惊讶的是，我们在开放手术中发现了髂总动脉破裂夹层。通过在髂总动脉和髂内动脉之间置入涤纶移植物并将髂外动脉植入移植物进行重建。组织学检查显示CMD。
结论
自发性髂动脉夹层和破裂可由CMD引起，需要立即进行手术干预。
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