1型神经纤维瘤病患者肱动脉破裂性动脉瘤的成功手术重建
Successful Surgical Reconstruction of a Ruptured Brachial Artery Aneurysm in a Patient With Type 1 Neurofibromatosis.
作者信息
Degenaar Kyra J, Barvelink Britt, Nienhuis Syert, Elsman Bernard H
机构信息
Surgery Department, Deventer Ziekenhuis, Deventer, The Netherlands.
Radiology Department, Deventer Ziekenhuis, Deventer, The Netherlands.
出版信息
EJVES Short Rep. 2019 May 11;43:18-20. doi: 10.1016/j.ejvssr.2019.04.004. eCollection 2019.
INTRODUCTION
The vascular pathology of patients with type 1 neurofibromatosis (NF-1) is known. Aneurysms of the brachial artery in NF-1 patients are rare and surgical treatment remains a challenge.
REPORT
A patient known to have NF-1 presented with swelling of the left arm. Computed tomography angiography showed a ruptured aneurysm of the brachial artery. Operative reconstruction was performed using reversed saphenous vein.
DISCUSSION
Up to now four cases had been published describing brachial aneurysms in NF-1 patients. This case describes the successful reconstruction of a ruptured brachial aneurysm, using a saphenous vein.
引言
1型神经纤维瘤病（NF-1）患者的血管病理学是已知的。NF-1患者肱动脉动脉瘤罕见，手术治疗仍然是一项挑战。
报告
一名已知患有NF-1的患者出现左臂肿胀。计算机断层扫描血管造影显示肱动脉动脉瘤破裂。采用大隐静脉逆行进行手术重建。
讨论
到目前为止，已发表了4例描述NF-1患者肱动脉瘤的病例。本病例描述了使用大隐静脉成功重建破裂的肱动脉瘤。
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