• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

马凡综合征合并20×11厘米巨大腹主动脉瘤:手术方法的病例报告

Marfan syndrome combined with huge abdominal aortic aneurysm size of 20 × 11 cm: A case report of surgical approach.

作者信息

Zhang Tian-Hua, Chi De-Cai, Jiang Wei-Liang, Qiang Shuai

机构信息

Department of Vascular Surgery Department of Plastic Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.

出版信息

Medicine (Baltimore). 2018 Sep;97(37):e09398. doi: 10.1097/MD.0000000000009398.

DOI:10.1097/MD.0000000000009398
PMID:30212924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6156054/
Abstract

RATIONALE

Abdominal aortic aneurysm is one of the most common aneurisms. Patients presenting with secondary back pain should be given prompt medical attention. Herein, a rare case of a giant abdominal aortic aneurysm that was successfully treated with surgery is described.

PATIENT CONCERNS

A 33-year-old Chinese male suffered from Marfan syndrome combined with giant abdominal aortic aneurysm, and presented with back pain, fever, nausea, vomiting, abdominal distention, and constipation. After undergoing numerous tests, the patient underwent an abdominal aortic aneurysm resection coupled with artificial graft bypass. The patient's recovery was smooth, and he was discharged 14 days after the operation in stable condition.

DIAGNOSIS

Abdominal aortic aneurysm.

INTERVENTIONS

The patient underwent a surgery involving mass resection and artificial graft bypass.

OUTCOME

The patient was discharged 14 days after surgery in stable condition.

LESSONS

Giant abdominal aortic aneurysms are rarely seen, and aneurysmectomy associated with prosthetic vascular graft repair is an effective and standard treatment for such aneurysms.

摘要

理论依据

腹主动脉瘤是最常见的动脉瘤之一。出现继发性背痛的患者应立即接受医疗关注。在此,描述了一例成功通过手术治疗的巨大腹主动脉瘤罕见病例。

患者情况

一名33岁中国男性患有马凡综合征合并巨大腹主动脉瘤,表现为背痛、发热、恶心、呕吐、腹胀和便秘。经过多项检查后,患者接受了腹主动脉瘤切除术并进行人工血管搭桥。患者恢复顺利,术后14天出院,病情稳定。

诊断

腹主动脉瘤。

干预措施

患者接受了包括肿块切除和人工血管搭桥的手术。

结果

患者术后14天出院,病情稳定。

经验教训

巨大腹主动脉瘤罕见,动脉瘤切除术联合人工血管移植修复是治疗此类动脉瘤的有效且标准的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/955d8d7de983/medi-97-e09398-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/9d1126d96e18/medi-97-e09398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/61d348f1dfd9/medi-97-e09398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/dc7e157eea18/medi-97-e09398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/263a13acb971/medi-97-e09398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/955d8d7de983/medi-97-e09398-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/9d1126d96e18/medi-97-e09398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/61d348f1dfd9/medi-97-e09398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/dc7e157eea18/medi-97-e09398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/263a13acb971/medi-97-e09398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/6156054/955d8d7de983/medi-97-e09398-g005.jpg

相似文献

1
Marfan syndrome combined with huge abdominal aortic aneurysm size of 20 × 11 cm: A case report of surgical approach.马凡综合征合并20×11厘米巨大腹主动脉瘤:手术方法的病例报告
Medicine (Baltimore). 2018 Sep;97(37):e09398. doi: 10.1097/MD.0000000000009398.
2
Combined repair of ascending aortic pseudoaneurysm and abdominal aortic aneurysm: in a patient with Marfan syndrome.升主动脉假性动脉瘤与腹主动脉瘤联合修复术:1例马方综合征患者
Tex Heart Inst J. 2003;30(3):233-5.
3
An Isolated Aneurysm of the Abdominal Aorta in a Patient with Marfan Syndrome-A Case Report.一名马凡氏综合征患者的腹主动脉孤立性动脉瘤——病例报告
Ann Vasc Surg. 2020 Feb;63:454.e1-454.e4. doi: 10.1016/j.avsg.2018.11.019. Epub 2019 Feb 11.
4
[Experience of reoperations followed by repairs of abdominal aortic aneurysms].[腹主动脉瘤修复术后再次手术的经验]
Rinsho Kyobu Geka. 1994 Dec;14(6):480-5.
5
Type IV thoracoabdominal aortic aneurysm with lymphoplasmacytic aortitis and cystic medial degeneration in a 32-year-old patient with Marfan syndrome.一名患有马凡综合征的32岁患者,患有IV型胸腹主动脉瘤,伴有淋巴细胞性浆细胞性主动脉炎和囊性中膜变性。
J Vasc Surg. 2005 Jul;42(1):168-71. doi: 10.1016/j.jvs.2005.03.033.
6
Surgical Repair of Abdominal Aortic and Renal Artery Aneurysms in Takayasu's Arteritis.大动脉炎患者腹主动脉及肾动脉瘤的外科修复术
Hawaii J Med Public Health. 2016 Jan;75(1):4-7.
7
Rare manifestation of abdominal aortic aneurysm and popliteal aneurysm in a patient with Marfan's syndrome: a case report.
Vasc Surg. 2001 Jan-Feb;35(1):81-4. doi: 10.1177/153857440103500118.
8
True abdominal aortic aneurysm in Marfan syndrome.马凡综合征中的真性腹主动脉瘤。
J Vasc Surg. 2009 May;49(5):1162-5. doi: 10.1016/j.jvs.2008.12.007.
9
[Surgery of abdominal aorta with horseshoe kidney].马蹄肾腹主动脉手术
Srp Arh Celok Lek. 1997 Jan-Feb;125(1-2):36-44.
10
Marfan's syndrome presenting with abdominal aortic aneurysm: a case for vigilance.以腹主动脉瘤为表现的马凡综合征:需警惕的病例。
West Afr J Med. 2003 Jan-Mar;22(1):95-7. doi: 10.4314/wajm.v22i1.27990.

引用本文的文献

1
Giant abdominal aortic aneurysms.巨大腹主动脉瘤
J Vasc Surg Cases Innov Tech. 2021 May 20;7(4):659-664. doi: 10.1016/j.jvscit.2021.04.016. eCollection 2021 Dec.

本文引用的文献

1
NADPH oxidase deficiency exacerbates angiotensin II-induced abdominal aortic aneurysms in mice.烟酰胺腺嘌呤二核苷酸磷酸氧化酶缺乏会加剧血管紧张素II诱导的小鼠腹主动脉瘤。
Arterioscler Thromb Vasc Biol. 2014 Nov;34(11):2413-20. doi: 10.1161/ATVBAHA.114.303086. Epub 2014 Sep 4.
2
Identification of Hic-5 as a novel scaffold for the MKK4/p54 JNK pathway in the development of abdominal aortic aneurysms.鉴定Hic-5为腹主动脉瘤发展过程中MKK4/p54 JNK信号通路的新型支架蛋白。
J Am Heart Assoc. 2014 May 8;3(3):e000747. doi: 10.1161/JAHA.113.000747.
3
Heart disease and stroke statistics--2012 update: a report from the American Heart Association.
《2012年心脏病和中风统计数据更新:美国心脏协会报告》
Circulation. 2012 Jan 3;125(1):e2-e220. doi: 10.1161/CIR.0b013e31823ac046. Epub 2011 Dec 15.
4
Assessment of macrophage infiltration in a murine model of abdominal aortic aneurysm.腹主动脉瘤小鼠模型中巨噬细胞浸润的评估
J Magn Reson Imaging. 2009 Aug;30(2):455-60. doi: 10.1002/jmri.21843.
5
Giant infrarenal aortic aneurysm: a huge size of 15 cm on diameter.巨大肾下主动脉瘤:直径达15厘米的巨大尺寸。
Minerva Chir. 2009 Jun;64(3):321-2.
6
A population-based case-control study of the familial risk of abdominal aortic aneurysm.一项基于人群的腹主动脉瘤家族风险病例对照研究。
J Vasc Surg. 2009 Jan;49(1):47-50; discussion 51. doi: 10.1016/j.jvs.2008.08.012. Epub 2008 Nov 22.
7
Rupture of a giant aneurysm in the sub-renal abdominal aorta with aortocaval fistulae.肾下腹主动脉巨大动脉瘤破裂并形成主动脉腔静脉瘘。
Minerva Chir. 2008 Jun;63(3):255.
8
A meta-analysis of 21,178 patients undergoing open or endovascular repair of abdominal aortic aneurysm.一项对21178例接受腹主动脉瘤开放修复或血管腔内修复患者的荟萃分析。
Br J Surg. 2008 Jun;95(6):677-84. doi: 10.1002/bjs.6240.
9
A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms.一项比较腹主动脉瘤传统修复术与血管腔内修复术的随机试验。
N Engl J Med. 2004 Oct 14;351(16):1607-18. doi: 10.1056/NEJMoa042002.
10
Current concepts in the pathogenesis of abdominal aortic aneurysm.腹主动脉瘤发病机制的当前概念
J Vasc Surg. 2003 Sep;38(3):584-8. doi: 10.1016/s0741-5214(03)00324-0.