Fakhro Abdullah, Shah Nilay, Barnes T L
Department of Surgery, Cooper University Hospital, New Jersey, United States of America.
Department of Surgery Mayo Clinic Arizona, Arizona, United States of America.
Ann Med Surg (Lond). 2013 Nov 4;2(2):65-7. doi: 10.1016/S2049-0801(13)70041-4. eCollection 2013.
We present the first case of 45 year-old male with an incidental non-symptomatic right common iliac artery pseudoaneurysm with concomitant aortic ectasia in the setting of severe alcoholic pancreatitis and a horseshoe kidney diagnosed by CT and MRA. Such findings would have posed significant difficulty during an open approach precluding safe surgical repair. Therefore, an exclusion endovascular repair of the pseudoaneurysm was employed using a unibody bifurcated endovascular aortic stent-graft to good results. Although not without their complications, endovascular stent-grafts may be life saving to patients who are not candidates for conventional surgical repair. We describe the diagnosis alongside our technique of endovascular repair.
我们报告首例45岁男性病例，该患者在严重酒精性胰腺炎和马蹄肾的情况下，偶然发现无症状的右髂总动脉假性动脉瘤并伴有主动脉扩张，通过CT和MRA确诊。在开放手术中，这些发现会带来极大困难，无法进行安全的手术修复。因此，采用一体式分叉血管内主动脉覆膜支架对假性动脉瘤进行血管腔内隔绝修复，效果良好。血管内覆膜支架虽有并发症，但对于不适合传统手术修复的患者可能是救命的。我们描述了诊断方法以及血管腔内修复技术。
