Department of Vascular Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru.
Department of Vascular Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru.
Ann Vasc Surg. 2021 Jul;74:520.e1-520.e9. doi: 10.1016/j.avsg.2021.01.093. Epub 2021 Feb 5.
Lumbar artery pseudoaneurysm (LAPA) is a pathology infrequently described in the literature. The most frequent complications are the expansion and rupture of the pseudoaneurysm. Reports of association between PE with LAPA have not yet been described. We present a 53-year-old male patient with LAPA whose expansion caused compression of the inferior vena cava and subsequently PE. He underwent mechanical thrombectomy and inferior cava vein filter placement associated with embolization of the LAPA. Despite the severe clinical profile, the patient was discharged with a favorable postoperative course without complications. This case report also includes a review of the literature.
腰椎动脉假性动脉瘤（LAPA）是文献中很少描述的一种病理学。最常见的并发症是假性动脉瘤的扩张和破裂。尚未有 LAPA 与 PE 之间关联的报告。我们报告了一位 53 岁的男性患者，他的 LAPA 扩张导致下腔静脉受压，随后发生 PE。他接受了机械血栓切除术和下腔静脉滤器放置，并伴有 LAPA 的栓塞。尽管临床情况严重，但患者术后恢复顺利，没有并发症出院。本病例报告还包括文献复习。
