伴有肾动脉狭窄的中段主动脉综合征

Chitrakar Akash, Shrestha Kajan Raj, Shrestha Uttam Krishna

Department of CTVS, Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, Maharajgung, Kathmandu, Nepal.

J Surg Case Rep. 2017 Sep 29;2017(9):rjx177. doi: 10.1093/jscr/rjx177. eCollection 2017 Sep.

A 39-year lady referred to Vascular Surgery OPD from Cardiology with uncontrolled hypertension, non- functional left kidney and absent bilateral femoral pulses. Investigations revealed middle aortic syndrome with non-functional left kidney with bilateral renal artery stenosis. She successfully underwent bypass of stenotic segment with polyester graft from descending thoracic aorta to left common iliac artery with reverse saphenous vein graft interposed between polyester and right renal artery.

一名39岁女性因高血压控制不佳、左肾无功能且双侧股动脉搏动消失，从心脏病科转诊至血管外科门诊。检查发现为中段主动脉综合征，左肾无功能且双侧肾动脉狭窄。她成功接受了狭窄段搭桥手术，采用涤纶移植物从胸降主动脉至左髂总动脉进行搭桥，并在涤纶移植物与右肾动脉之间置入了大隐静脉反转移植物。