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免疫球蛋白G4相关性炎性腹主动脉瘤的血管内治疗

Endovascular treatment of immunoglobulin G4-related inflammatory abdominal aortic aneurysm.

作者信息

Sakai Kenji, Watanabe Taiju, Yoshida Tetsuya

机构信息

Department of Cardiovascular Surgery, Hokushin General Hospital, Nagano, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2018 Aug 17;4(3):189-192. doi: 10.1016/j.jvscit.2018.03.012. eCollection 2018 Sep.

DOI:10.1016/j.jvscit.2018.03.012
PMID:30148236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6105760/
Abstract

We present the case of a 51-year-old Japanese man with immunoglobulin G4-related inflammatory abdominal aortic aneurysm (AAA). A computed tomography scan showed a 60-mm AAA with inflammatory aortic wall thickening and bilateral hydronephrosis. We did not administer steroid therapy but undertook endovascular aneurysm repair. Postoperatively, inflammation of the aorta and hydronephrosis ameliorated without steroid therapy. The treatment of immunoglobulin G4-related inflammatory AAA is still debated. We achieved good clinical results with endovascular repair alone.

摘要

我们报告一例51岁的日本男性免疫球蛋白G4相关炎性腹主动脉瘤（AAA）病例。计算机断层扫描显示一个60毫米的腹主动脉瘤，伴有炎性主动脉壁增厚和双侧肾积水。我们未给予类固醇治疗，而是进行了血管内动脉瘤修复术。术后，未进行类固醇治疗，主动脉炎症和肾积水均得到改善。免疫球蛋白G4相关炎性腹主动脉瘤的治疗仍存在争议。我们仅通过血管内修复就取得了良好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/0eb0c50c578d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/c3d4d4f5b98f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/71ac97797a2d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/0eb0c50c578d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/c3d4d4f5b98f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/71ac97797a2d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791c/6105760/0eb0c50c578d/gr3.jpg

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本文引用的文献

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Clinical course after corticosteroid therapy in IgG4-related aortitis/periaortitis and periarteritis: a retrospective multicenter study.IgG4 相关性主动脉炎/主动脉周炎和动脉周围炎患者接受皮质类固醇治疗后的临床病程：一项回顾性多中心研究
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Comparison of open and endovascular repair of inflammatory aortic aneurysms.对比炎性主动脉瘤的开放手术修复与腔内修复。
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IgG4 相关疾病（IgG4-RD）的综合诊断标准，2011 年。
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IgG4-related inflammatory abdominal aortic aneurysm.IgG4 相关性炎症性腹主动脉瘤。
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A systematic review of open versus endovascular repair of inflammatory abdominal aortic aneurysms.炎症性腹主动脉瘤开放修复与血管腔内修复的系统评价
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A new clinicopathological entity of IgG4-related inflammatory abdominal aortic aneurysm.IgG4相关性炎性腹主动脉瘤的一种新的临床病理实体。
J Vasc Surg. 2009 May;49(5):1264-71; discussion 1271. doi: 10.1016/j.jvs.2008.11.072. Epub 2009 Feb 14.