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低温心脏停搏 15 年后夹闭破裂、先前弹簧圈栓塞的巨大基底尖动脉瘤，获得良好转归。

Excellent Outcome 15 Years After Hypothermic Cardiac Standstill for Clipping of a Ruptured, Previously Coiled, Giant Basilar Tip Aneurysm.

机构信息

Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA.

出版信息

World Neurosurg. 2020 May;137:257-260. doi: 10.1016/j.wneu.2020.01.194. Epub 2020 Feb 3.

DOI:10.1016/j.wneu.2020.01.194
PMID:32028003
Abstract

BACKGROUND

Giant, previously coiled basilar tip aneurysms are difficult to cure.

CASE DESCRIPTION

A 38-year-old woman with ruptured, giant, previously coiled basilar tip aneurysm was treated with clipping under hypothermic cardiac standstill and is doing excellently 15 years after surgery. Angiography did not show any recurrence.

CONCLUSIONS

Until endovascular treatment is proven on a long-term basis to cure similar aneurysms, surgery should remain an option.

摘要

背景

巨大、先前盘绕的基底动脉尖动脉瘤难以治愈。

病例描述

一名 38 岁女性，因破裂的巨大、先前盘绕的基底动脉尖动脉瘤接受低温心脏停搏夹闭治疗，术后 15 年恢复良好，造影未见复发。

结论

在血管内治疗长期证明能够治愈类似动脉瘤之前，手术仍应作为一种选择。

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