Sato Noriaki, Kato Kaori, Takekubo Masaru, Mimura Shinya, Namura Osamu, Sakai Takeshi, Ohzeki Hajime
Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital, Johetsu, Niigata, Japan.
Division of Pathology, Niigata Prefectural Central Hospital, Johetsu, Niigata, Japan.
Ann Vasc Dis. 2019 Dec 25;12(4):548-550. doi: 10.3400/avd.cr.19-00059.
An 86-year-old man presented with a pulsatile mass in the anterior compartment of the right lower leg. He had become aware of it two months earlier. Computed tomography angiography revealed a fusiform 3.2×5 cm aneurysm of the anterior tibial artery. Mural thrombosis in the aneurysm was absent. Peripheral pulse was normal. We performed aneurysmectomy and revascularization using a saphenous vein graft. Histological findings revealed that the mass was a true aneurysm. The clinical course was good, and the graft has remained patent for six months.
一名86岁男性患者，右小腿前侧出现搏动性肿块。他在两个月前就注意到了。计算机断层血管造影显示胫前动脉有一个3.2×5厘米的梭形动脉瘤。动脉瘤内无壁内血栓形成。外周脉搏正常。我们使用大隐静脉移植物进行了动脉瘤切除术和血管重建术。组织学检查结果显示该肿块为真性动脉瘤。临床过程良好，移植物已通畅六个月。
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