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一名患有40年白塞病病史的老年成人锁骨骨折后左锁骨下动脉假性动脉瘤的血管内治疗

Endovascular Treatment of Left Subclavian Artery Pseudoaneurysm after Clavicle Fracture in an Elderly Adult with a 40-Year History of Behçet's Disease.

作者信息

Nishimura Kengo, Hamasaki Takafumi, Yamamoto Shuichi, Kawai Tsuyoshi, Sugiura Kimihiko

机构信息

Department of Surgery, Tottori Prefectural Kosei Hospital, Kurayoshi, Tottori, Japan.

Department of Radiology, Tottori Prefectural Kosei Hospital, Kurayoshi, Tottori, Japan.

出版信息

Ann Vasc Dis. 2015;8(4):328-30. doi: 10.3400/avd.cr.15-00082. Epub 2015 Oct 15.

Abstract

Behçet's disease (BD) is a rare chronic systemic vasculitis of unknown etiology that presents in young adults. We report a very rare case of a left subclavian artery pseudoaneurysm identified after a left clavicle fracture in a 70-year-old man with a 40-year history of intestinal BD. The patient received fixation by banding to treat a fracture after falling from a bed about 5 months previously, and he was referred to our hospital due to the finding of a left subclavian pulsatile mass. As enhanced computed tomography showed a left subclavian artery pseudoaneurysm, it was repaired using an endovascular stent graft.

摘要

白塞病(BD)是一种病因不明的罕见慢性全身性血管炎,好发于年轻人。我们报告了一例非常罕见的病例,一名70岁男性,有40年肠道白塞病病史,在左侧锁骨骨折后发现左锁骨下动脉假性动脉瘤。该患者约5个月前从床上跌落致骨折,接受了捆扎固定治疗,因发现左侧锁骨下搏动性肿块转诊至我院。增强计算机断层扫描显示为左锁骨下动脉假性动脉瘤,遂采用血管内支架移植物进行修复。

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Subclavian artery pseudoaneurysm in Behcet's disease.白塞病中的锁骨下动脉假性动脉瘤
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本文引用的文献

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Endovascular treatment of aortic pseudoaneurysm in Behçet disease.白塞病主动脉假性动脉瘤的血管内治疗
J Vasc Surg. 2009 Nov;50(5):1025-30. doi: 10.1016/j.jvs.2009.06.009. Epub 2009 Aug 5.
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Surgical treatment result of abdominal aortic aneurysm in Behçet's disease.白塞病腹主动脉瘤的外科治疗结果
Eur J Vasc Endovasc Surg. 2008 Feb;35(2):173-80. doi: 10.1016/j.ejvs.2007.08.013. Epub 2007 Oct 26.
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Fatal subclavian artery transection from isolated clavicle fracture.
J Trauma. 2000 Feb;48(2):316-8. doi: 10.1097/00005373-200002000-00022.
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Behçet's disease.白塞病。
N Engl J Med. 1999 Oct 21;341(17):1284-91. doi: 10.1056/NEJM199910213411707.
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Vasculitis in Behçet's disease.白塞病中的血管炎。
Int Rev Immunol. 1997;14(1):81-8. doi: 10.3109/08830189709116846.

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