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经皮血管内主动脉瘤修复术后马蹄肾峡部梗死

Horseshoe Kidney Isthmus Infarction After Percutaneous Endovascular Aortic Aneurysm Repair.

作者信息

Melmer Patrick D, Patel Akash, Biswas Saptarshi, Borowicz Mark R

机构信息

Surgery, Grand Strand Medical Center, Myrtle Beach, USA.

Surgery, Grand Strand Medical Center/University of South Carolina, Myrtle Beach, USA.

出版信息

Cureus. 2020 Mar 15;12(3):e7279. doi: 10.7759/cureus.7279.

DOI:10.7759/cureus.7279
PMID:32300499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7158593/
Abstract

Horseshoe kidneys and their wide-ranging anatomy present a unique test to the open surgical approach for repair of abdominal aortic aneurysms. Endovascular options are currently the desired strategy for treatment of abdominal aortic aneurysms and offer multiple advantages when horseshoe kidneys are present. Even so, the challenging nature of these patients demands a high degree of caution and planning. This case details a patient with horseshoe kidney who underwent percutaneous endovascular aneurysm repair for an abdominal aortic aneurysm and developed isthmus infarction early in the postoperative period with an uneventful subsequent recovery. Here we report what we believe is the first successfully described percutaneous endovascular aneurysm repair to treat a patient with horseshoe kidney.

摘要

马蹄肾及其广泛的解剖结构对开放性手术修复腹主动脉瘤提出了独特的挑战。目前，血管内治疗方案是治疗腹主动脉瘤的首选策略，对于存在马蹄肾的患者具有多种优势。即便如此，这类患者情况复杂，需要高度谨慎并做好规划。本病例详细介绍了一名马蹄肾患者，该患者接受了经皮血管内动脉瘤修复术治疗腹主动脉瘤，术后早期发生峡部梗死，但随后顺利康复。在此，我们报告我们认为首例成功实施的经皮血管内动脉瘤修复术治疗马蹄肾患者的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/0860abefa8bf/cureus-0012-00000007279-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/9d8dbd74b4c9/cureus-0012-00000007279-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/47467324e5d6/cureus-0012-00000007279-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/a6ef9110a529/cureus-0012-00000007279-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/c11351f7ae51/cureus-0012-00000007279-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/51ff41a159c9/cureus-0012-00000007279-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/b72f26cd529b/cureus-0012-00000007279-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/0860abefa8bf/cureus-0012-00000007279-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/9d8dbd74b4c9/cureus-0012-00000007279-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/47467324e5d6/cureus-0012-00000007279-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/a6ef9110a529/cureus-0012-00000007279-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/c11351f7ae51/cureus-0012-00000007279-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/51ff41a159c9/cureus-0012-00000007279-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/b72f26cd529b/cureus-0012-00000007279-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/7158593/0860abefa8bf/cureus-0012-00000007279-i07.jpg

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引用本文的文献

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Curr Cardiol Rep. 2018 Jul 26;20(9):79. doi: 10.1007/s11886-018-1023-6.
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Hybrid Repair of an Abdominal Aortic Aneurysm: Debranching with Endovascular Aneurysm Repair in a Patient with Horseshoe Kidney.马蹄肾患者腹主动脉瘤的杂交修复术：去分支与血管腔内动脉瘤修复术联合应用
Ann Vasc Dis. 2017 Mar 24;10(1):41-43. doi: 10.3400/avd.cr.16-00107. Epub 2017 Mar 31.
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一种用于腔内修复术中马蹄肾处理的新型烟囱技术
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