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股浅动脉动脉瘤自发性破裂:病例报告

Spontaneous rupture of superficial femoral artery aneurysm: case report.

作者信息

Miyamotto Marcio, Biscardi João Márcio Dos Santos, Trentin Cristina Detoni, Machado Rafael Malucelli, Angelo Bruna Zimmerman, de Andrade Danielle Côrrea, Raymundo Cintia Lopes, Ribas Bruno Moraes

机构信息

Pontifícia Universidade Católica do Paraná - PUC-PR, Hospital Universitário Cajuru - HUC, Serviço de Cirurgia Vascular e Endovascular, Curitiba, PR, Brasil.

Instituto VESSEL de Aperfeiçoamento Endovascular, Curitiba, PR, Brasil.

出版信息

J Vasc Bras. 2019 Mar 6;18:e20180113. doi: 10.1590/1677-5449.011318. eCollection 2019.

Abstract

Isolated true aneurysms of the superficial femoral artery (SFA) are rare, accounting for 0.5% of peripheral aneurysms. The literature up to 2012 contains reports of just 103 patients with isolated SFA aneurysms. The main complications are thrombosis, distal embolization, and rupture, which is the most common of the three. The authors report the case of a 55-year-old male patient admitted to the emergency service with pain and a pulsatile mass in the left thigh, subsequently confirmed as rupture of an SFA aneurysm. The patient underwent open aneurysm repair with ligature and revascularization with a reversed saphenous vein bypass.

摘要

孤立性股浅动脉(SFA)真性动脉瘤较为罕见,占周围动脉瘤的0.5%。截至2012年的文献中仅有103例孤立性SFA动脉瘤患者的报告。主要并发症为血栓形成、远端栓塞和破裂,其中破裂是最常见的。作者报告了一例55岁男性患者,因左大腿疼痛和搏动性肿块入住急诊,随后确诊为SFA动脉瘤破裂。该患者接受了开放性动脉瘤修复术,包括结扎和用大隐静脉倒置旁路进行血运重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2312/6579521/3e006f640218/jvb-18-e20180113-g01-en.jpg

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