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一名高血压女性腹主动脉瘤局限性破裂后，双侧锁骨下动脉侧支循环实现髂动脉和股动脉侧支循环奇迹般重塑。

Collateral miracle-reformation of iliac and femoral arteries by collaterals from bilateral subclavian arteries following contained rupture of abdominal aortic aneurysm in a hypertensive female.

作者信息

Paul Saptarshi, Nagre Suraj Wasudeo

机构信息

Department of Cardiovascular and Thoracic Surgery, Grant Government Medical College and Sir Jamshedjee Jeejebhoy Group of Hospitals, Mumbai 400008, India India.

出版信息

J Saudi Heart Assoc. 2019 Apr;31(2):75-77. doi: 10.1016/j.jsha.2018.10.002. Epub 2018 Nov 5.

DOI:10.1016/j.jsha.2018.10.002
PMID:30622381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6317278/
Abstract

Rupture of an abdominal aortic aneurysm is readily diagnosed when the triad of abdominal or back pain, shock and a pulsatile abdominal mass are present. However in a few cases, a chronic contained ruptured abdominal aortic aneurysm can present in a multitude of manners rather than as life threatening haemorrhage. In our case we are reporting a 41 year old hypertensive female who developed claudication pain in both her lower limbs. Imaging later revealed that she had a contained ruptured abdominal aortic aneurysm, a thing she was previously unaware of, with collaterals from the bilateral subclavian arteries supplying her femorals.

摘要

当出现腹痛或背痛、休克和搏动性腹部肿块这三联征时，腹主动脉瘤破裂很容易被诊断出来。然而，在少数情况下，慢性局限性破裂的腹主动脉瘤可能以多种方式表现，而不是危及生命的出血。在我们的病例中，我们报告了一名41岁的高血压女性，她双下肢出现间歇性跛行疼痛。后来的影像学检查显示，她患有局限性破裂的腹主动脉瘤，这是她之前不知道的情况，双侧锁骨下动脉的侧支循环为她的股动脉供血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/236bafeddbba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/d6409a2d36e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/c16b0bf45e25/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/fc8b0f1b9e61/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/19263b1a80bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/236bafeddbba/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/d6409a2d36e2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/c16b0bf45e25/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/fc8b0f1b9e61/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/19263b1a80bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/6317278/236bafeddbba/gr4.jpg

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本文引用的文献

1
Chronic Contained Abdominal Aortic Aneurysm Rupture Mimicking Vertebral Spondylodiscitis: A Case Report.慢性局限性腹主动脉瘤破裂酷似椎体脊椎间盘炎：一例报告
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Chronic contained rupture of an abdominal aortic aneurysm complicated by infection and femoral neuropathy. Case report.
腹主动脉瘤慢性局限性破裂并发感染及股神经病变。病例报告。
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Sealed rupture of abdominal aortic aneurysm imitating metastatic carcinoma.
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Chronic contained rupture of an abdominal aortic aneurysm presenting as a lower extremity neuropathy.以下肢神经病变为表现的腹主动脉瘤慢性局限性破裂。
Ann Emerg Med. 1988 Mar;17(3):284-7. doi: 10.1016/s0196-0644(88)80125-2.