Hatzidakis Adam, Touloupakis Emmanuel, Charalambous Stavros, Reppa Despoina, Karagiannakidis Efstratios
Department of Medical Imaging, University Hospital of Heraklion, Heraklion, Greece.
Department of Vascular Surgery, Creta InterClinic Hospital, Heraklion, Greece.
Interv Med Appl Sci. 2018 Mar;10(1):54-58. doi: 10.1556/1646.10.2018.04.
An 88-year-old male patient of high surgical risk was presented with left sciatic pain symptoms and a palpable pulsatile left lower abdominal mass. He was operated 8 years ago for a large infrarenal aortic aneurysm. Computed tomography angiography (CTA) revealed a giant 161 mm left internal iliac aneurysm with multilocular appearance and left sacral bone erosion causing the symptoms. Endovascular repair was successfully performed using a monotubular iliac stent-graft. Follow-up CTA showed absence of contrast enhancement and a fully thrombosed sac. Patient recovered completely and was discharged 1 month after the procedure in a relatively good condition, nevertheless sciatic symptoms remained.
一位手术风险高的88岁男性患者，出现左坐骨神经痛症状，左下腹可触及搏动性肿块。他8年前因巨大肾下腹主动脉瘤接受过手术。计算机断层扫描血管造影（CTA）显示一个巨大的161毫米左髂内动脉瘤，呈多房外观，伴有左骶骨侵蚀，导致了这些症状。使用单管髂动脉覆膜支架成功进行了血管内修复。随访CTA显示无造影剂增强，瘤腔完全血栓形成。患者完全康复，术后1个月出院，状况相对良好，但坐骨神经症状仍然存在。
