Cheng Zhihua, Luo Sean X, Sun Xiwei, Sun Siqiao, Wang Zhongying, Jiang Yuzhu, An Zhiyuan, Wang Qi
Department of Vascular Surgery, the First Hospital of Jilin University, 71 Xinmin Street, Changchun, 130021, Jilin Province, China.
Department of Vascular Surgery, Panshi City Hospital, Panshi, 132300, Jilin Province, China.
BMC Infect Dis. 2015 Nov 20;15:540. doi: 10.1186/s12879-015-1239-7.
Arterial aneurysm is a known complication of syphilis, but the occurrence of femoral artery aneurysm secondary to the syphilitic disease has never been reported.
The present study described a 60-year-old Chinese male who presented with two aneurysms in the middle and lower segment of the right superficial femoral artery causing the symptoms of pain, coldness and numbness in the right lower limb. This case was diagnosed with syphilitic superficial femoral aneurysm because of positive syphilitic testing and the inflammatory cell infiltration around the adventitial vasa vasorum under the pathological examination. Anti-syphilis treatment, stent graft implantation and open surgery were attempted to eliminate the syphilis and aneurysm, which was ultimately successful, with no symptoms after a follow-up of 3 months.
Combined open and endovascular repair may be effective and safe for treatment of syphilitic femoral artery aneurysms.
动脉瘤是梅毒的一种已知并发症，但由梅毒疾病继发的股动脉瘤的发生从未有过报道。
本研究描述了一名60岁的中国男性，其右股浅动脉中下段出现两个动脉瘤，导致右下肢疼痛、发冷和麻木症状。由于梅毒检测呈阳性且病理检查显示外膜血管周围有炎性细胞浸润，该病例被诊断为梅毒性股浅动脉瘤。尝试进行抗梅毒治疗、支架植入和开放手术以消除梅毒和动脉瘤，最终获得成功，随访3个月后无症状。
开放手术与血管腔内修复相结合对于治疗梅毒性股动脉瘤可能是有效且安全的。
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