与正中弓状韧带压迫和主动脉夹层相关的胰十二指肠动脉动脉瘤破裂经栓塞治疗成功治愈。
Ruptured pancreaticoduodenal artery aneurysm associated with median arcuate ligament compression and aortic dissection successfully treated with embolotherapy.
作者信息
Miyayama Shiro, Terada Takuro, Tamaki Masato
机构信息
Department of Diagnostic Radiology, Fukuiken Saiseikai Hospital, Fukui, Fukui, Japan.
Department of Surgery, Fukuiken Saiseikai Hospital, Fukui, Fukui, Japan.
出版信息
Ann Vasc Dis. 2015;8(1):40-2. doi: 10.3400/avd.cr.14-00117. Epub 2015 Mar 9.
Abstract
A 51-year-old man with a ruptured pancreaticoduodenal artery (PDA) aneurysm caused by compression of the celiac artery by the median arcuate ligament and aortic dissection involving the celiac axis was transferred to our hospital for endovascular treatment. A 4-F catheter was advanced into the superior mesenteric artery through the narrow true lumen via the left brachial artery, and coil embolization of the aneurysm was successfully performed. In this case, rapid increase of blood flow in the superior mesenteric artery, which compensated for the decreased celiac blood flow by aortic dissection, increased hemodynamic stress on the PDA, leading to aneurysmal rupture.
摘要
一名51岁男性，因正中弓状韧带压迫腹腔干导致胰十二指肠动脉（PDA）动脉瘤破裂，且主动脉夹层累及腹腔干，被转至我院接受血管内治疗。通过左肱动脉经狭窄的真腔将一根4F导管推进至肠系膜上动脉，成功实施了动脉瘤的弹簧圈栓塞术。在该病例中，肠系膜上动脉血流迅速增加，弥补了主动脉夹层导致的腹腔干血流减少，但同时增加了PDA的血流动力学压力，导致动脉瘤破裂。
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本文引用的文献
1
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2
Pancreaticoduodenal artery pseudoaneurysm caused by segmental arterial mediolysis: a case report of surgical treatment.节段性动脉中层溶解导致的胰十二指肠动脉假性动脉瘤：手术治疗病例报告
Ann Vasc Dis. 2013;6(2):198-201. doi: 10.3400/avd.cr.12.00094. Epub 2013 Apr 20.
3
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4
Inferior pancreaticoduodenal artery aneurysms in association with celiac stenosis/occlusion.胰十二指肠下动脉瘤合并腹腔干狭窄/闭塞
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5
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9
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