右肱动脉真性动脉瘤导致急性右上肢缺血：一例报告
Acute right upper extremity ischemia resulting from true aneurysmof right brachial artery: A case report.
作者信息
Tadayon Niki, Zarrintan Sina, Kalantar-Motamedi Seyed Mohammad Reza
机构信息
Division of Vascular & Endovascular Surgery, Department of General & Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
J Cardiovasc Thorac Res. 2020;12(4):337-340. doi: 10.34172/jcvtr.2020.54. Epub 2020 Nov 24.
We report a case of 66-year-old woman with true aneurysm of the right brachial artery. She presented with acute upper extremity ischemia. The hand was cold and parenthesized and distal pulses were absent. CT angiography (CTA) revealed a 20*25 mm true brachial artery aneurysm. The aneurysm was thrombosed without distal run-off. We excised the aneurysm and reestablished the arterial flow by a reverse saphenous interposition graft. The postoperative course was uneventful.
我们报告一例66岁女性右肱动脉真性动脉瘤病例。她表现为急性上肢缺血。手部冰冷且有麻木感，远端脉搏消失。CT血管造影（CTA）显示一个20×25毫米的肱动脉真性动脉瘤。动脉瘤内有血栓形成，无远端血流。我们切除了动脉瘤，并通过逆行大隐静脉移植重建了动脉血流。术后过程顺利。
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