Hong In-Kee, Choi Ji-Ho, Chu Young Chae, Jeon Yong Sun, Lee Keon-Young
Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Department of Family Medicine, Inha University School of Medicine, Incheon, Korea.
Ann Surg Treat Res. 2015 Sep;89(3):162-5. doi: 10.4174/astr.2015.89.3.162. Epub 2015 Aug 24.
Here, we present the case of a 37-year-old woman with multiple visceral artery aneurysms in the pancreaticoduodenal, inferior pancreatic and splenic arteries associated with celiac trunk stenosis. An aneurysmectomy and end-to-end anastomosis was performed for two adjacent aneurysms, while clipping with intracranial aneurysm clips were performed for the other three aneurysms. During 36-month follow-up, no recurrence or newly developed lesions were noted, and the celiac artery had been reconstituted spontaneously. We believe that using intracranial aneurysm clips in the treatment of visceral artery aneurysms is feasible and safe and can be considered when endovascular procedures are unlikely to be successful.
在此,我们报告一例37岁女性病例,其胰十二指肠动脉、胰下动脉和脾动脉存在多个内脏动脉瘤,并伴有腹腔干狭窄。对两个相邻动脉瘤进行了动脉瘤切除术和端端吻合术,对另外三个动脉瘤则使用颅内动脉瘤夹进行夹闭。在36个月的随访期间,未发现复发或新出现的病变,腹腔动脉已自行重建。我们认为,在内脏动脉瘤治疗中使用颅内动脉瘤夹是可行且安全的,当血管内手术不太可能成功时可以考虑使用。