Jesus-Silva Seleno Glauber de, Moraes-Silva Melissa Andreia de, Rieira Bruno Cardoso, Nasser Felipe, Cardoso Rodolfo Souza
Department of Vascular and Endovascular Surgery, Hospital de Clínicas de Itajuba, Itajubá/MG, Brazil.
Department of Interventional Radiology, Albert Einstein Israeli Hospital, São Paulo, Brazil.
J Vasc Surg Cases Innov Tech. 2018 Dec 10;4(4):315-318. doi: 10.1016/j.jvscit.2018.07.005. eCollection 2018 Dec.
Among the cases of visceral artery aneurysms, those that involve the inferior mesenteric artery are the most uncommon, with a prevalence of <1%. This study reports a giant symptomatic inferior mesenteric artery aneurysm and its endovascular treatment by means of percutaneous embolization with the implantation of pushable coils. After complete occlusion of the aneurysm, adequate maintenance of arterial supply of the left colon and resolution of the symptoms were observed. In the 2-year follow-up, a significant reduction in the aneurysm's volume and maintenance of the clinical condition were observed.
在内脏动脉瘤病例中,累及肠系膜下动脉的病例最为罕见,患病率<1%。本研究报告了一例巨大有症状的肠系膜下动脉动脉瘤及其通过植入可推送线圈进行经皮栓塞的血管内治疗。动脉瘤完全闭塞后,观察到左半结肠动脉供应得以充分维持且症状缓解。在2年的随访中,观察到动脉瘤体积显著缩小且临床状况得以维持。