Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Department of Surgery, Mayo Clinic, Rochester, Minn.
J Vasc Surg. 2019 Apr;69(4):1252-1256. doi: 10.1016/j.jvs.2018.08.168. Epub 2018 Oct 3.
A 31-year-old man with a history of multiple strokes of unknown etiology presented with multiple asymptomatic visceral artery aneurysms including a 3.3-cm bilobed splenic artery aneurysm and a 3.1-cm fusiform superior mesenteric artery aneurysm. He had no family history of aneurysms, and there was no evidence of collagen disease. He underwent open splenic artery aneurysm resection without splenectomy and had an uneventful recovery. Seven months later, he had open repair of his 14.6-cm-long fusiform superior mesenteric artery aneurysm with a 15-cm-long collagen-coated polyester interposition graft with multiple visceral branch reimplantations into the graft. The postoperative course was uneventful, and computed tomography confirmed patent graft and side branches. Two years later, the patient remained free of abdominal symptoms, although he suffered another episode of a mild stroke.
一位 31 岁的男性，既往有多发性不明病因的脑卒中史，现出现多个无症状内脏动脉动脉瘤，包括 3.3cm 分叶状脾动脉瘤和 3.1cm 梭形肠系膜上动脉动脉瘤。他没有动脉瘤的家族史，也没有胶原病的证据。他接受了开放性脾动脉瘤切除术，无脾切除术，恢复顺利。7 个月后，他接受了开放性修复，使用 15cm 长的胶原涂层聚酯间置移植物修复了 14.6cm 长的梭形肠系膜上动脉动脉瘤，并对多个内脏分支进行了再植入。术后过程顺利，计算机断层扫描证实移植物和侧支通畅。两年后，患者无腹部症状，但又发生了一次轻度脑卒中。
