Wang Sophie, Kernodle Amber, Hicks Caitlin W, Black James Hamilton
Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, Baltimore, Md.
Department of Surgery, The Johns Hopkins Hospital, Baltimore, Md.
J Vasc Surg Cases Innov Tech. 2018 Apr 30;4(2):156-159. doi: 10.1016/j.jvscit.2018.03.001. eCollection 2018 Jun.
Loeys-Dietz syndrome is a rare connective tissue disorder with widespread arterial tortuosity and aneurysms. This syndrome is most notable for its aortic disease, including aortic root dilation and aortic dissection or rupture. Although not as well studied, peripheral artery aneurysms are a prevalent concurrent manifestation and have previously been repaired with both open and endovascular approaches. There are minimal data about the durability and technical considerations of endovascular repair in this disease. We report a case of a patient who developed an extremely tortuous recurrent femoral-popliteal artery aneurysm secondary to aneurysmal degeneration around previously placed stents that was treated with an endovascular approach.
洛伊迪茨综合征是一种罕见的结缔组织疾病,伴有广泛的动脉迂曲和动脉瘤。该综合征最显著的特征是其主动脉疾病,包括主动脉根部扩张以及主动脉夹层或破裂。尽管研究较少,但外周动脉瘤是一种常见的并发表现,此前已通过开放手术和血管腔内治疗方法进行修复。关于该疾病血管腔内修复的耐久性和技术考量的数据极少。我们报告一例患者,其因先前放置的支架周围动脉瘤样变性而出现极度迂曲的复发性股腘动脉瘤,采用血管腔内治疗方法进行了治疗。