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空肠动脉动脉瘤的外科治疗

Surgical Treatment of Jejunal Artery Aneurysm.

作者信息

Toya Teppei, Uehara Kyokun, Ito Yusuke, Sasaki Hiroaki, Matsuda Hitoshi

机构信息

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Centre, Suita, Japan.

出版信息

EJVES Short Rep. 2018 Sep 24;40:15-17. doi: 10.1016/j.ejvssr.2018.08.001. eCollection 2018.

DOI:10.1016/j.ejvssr.2018.08.001
PMID:30294683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6171461/
Abstract

INTRODUCTION

A jejunal artery aneurysm (JAA) is rare and has few specific symptoms. Endovascular repair is widely used in the treatment of jejunal artery aneurysms; however, some patients still require open repair.

REPORT

A 59 year old man underwent open surgery with resection of the aneurysm and reconstruction using a saphenous vein graft. Histopathological examination revealed heterotopic pancreas around the aneurysm.

DISCUSSION

Inflammation as a result of heterotopic pancreas was suspected as the cause of JAA. The advantage of open repair is to explore intestinal ischaemia directly. Furthermore, revascularisation with a saphenous vein graft may remove the possibility of post-operative intestinal ischaemia.

摘要

引言

空肠动脉动脉瘤（JAA）较为罕见，且几乎没有特定症状。血管内修复术广泛应用于空肠动脉动脉瘤的治疗；然而，仍有一些患者需要进行开放修复术。

病例报告

一名59岁男性接受了开放手术，切除动脉瘤并使用大隐静脉移植进行重建。组织病理学检查显示动脉瘤周围存在异位胰腺。

讨论

怀疑异位胰腺引起的炎症是JAA的病因。开放修复术的优点是可直接探查肠道缺血情况。此外，使用大隐静脉移植进行血管重建可消除术后肠道缺血的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/cd8aaebd96a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/0177d0145528/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/5bb4f4f41203/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/dfdff34cc3b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/cd8aaebd96a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/0177d0145528/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/5bb4f4f41203/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/dfdff34cc3b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d1/6171461/cd8aaebd96a6/gr4.jpg

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本文引用的文献

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Successful endovascular embolisation of a jejunal artery aneurysm.空肠动脉动脉瘤的成功血管内栓塞术。
Singapore Med J. 2015 Mar;56(3):e46-8. doi: 10.11622/smedj.2015051.
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Endovascular embolization of a third jejunal artery aneurysm: isolation technique using the Amplatzer vascular plug 4.血管内栓塞治疗第三空肠动脉动脉瘤：使用 Amplatzer 血管塞 4 进行隔离的技术。
Catheter Cardiovasc Interv. 2013 May;81(6):1049-52. doi: 10.1002/ccd.24415. Epub 2012 May 2.
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