Dueppers Philip, Jankowiak Silvia, Schelzig Hubert, Wagenhäuser Markus U, Oberhuber Alexander
Department of Vascular and Endovascular Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany.
Department of Pathology, University Hospital of Duesseldorf, Duesseldorf, Germany.
Ann Vasc Surg. 2015 Apr;29(3):596.e11-3. doi: 10.1016/j.avsg.2014.10.041. Epub 2015 Jan 14.
Rupture of isolated iliac artery dissections is a life-threatening event and has not been associated with cystic medial degeneration (CMD) Erdheim-Gsell.
A young man presented to our emergency unit in a critical hemodynamic condition. Computed tomography scan feigned the rupture of an internal iliac artery.
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.
Spontaneous iliac artery dissection and rupture can be caused by CMD and requires immediate surgical intervention.
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。
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。
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。
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。
