腋窝动脉动脉瘤合并上肢动静脉畸形：一例报告。
Axillary artery aneurysm associated with Arteriovenous malformations of the upper extremity: A case report.
作者信息
Altuwaijri Talal, Bakhraibah Waleed, Iqbal Kaisor, Altoijry Abdulmajeed
机构信息
Department of Surgery, King Saud University, P. O. Box: 7805 (37), Riyadh, 11472, Saudi Arabia.
Department of Surgery, King Saud University, P. O. Box: 7805 (37), Riyadh, 11472, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2021 Apr;81:105738. doi: 10.1016/j.ijscr.2021.105738. Epub 2021 Mar 17.
INTRODUCTION AND IMPORTANCE
Axillary artery aneurysms are an uncommon upper extremity pathology. While trauma is the most common cause, degenerative aneurysms may occur in high-flow vascular conditions, such as upper extremity arteriovenous fistulas. Arteriovenous malformations (AVMs) are a rare cause.
CASE PRESENTATION AND DISCUSSION
We herein describe a 41-year-old male with multiple congenital high-flow AVMs in the left upper extremity who presented with an asymptomatic axillary artery aneurysm. The aneurysm was successfully treated with open resection and revascularization using a reversed basilic vein interposition graft.
CONCLUSION
Clinicians should be aware of the possibility of an axillary artery aneurysm in patients with upper extremity AVMs.
引言与重要性
腋动脉瘤是一种罕见的上肢疾病。虽然创伤是最常见的病因，但退行性动脉瘤可能发生于高流量血管病变，如上肢动静脉瘘。动静脉畸形（AVM）是一种罕见的病因。
病例介绍与讨论
我们在此描述一名41岁男性，其左上肢患有多处先天性高流量AVM，出现了无症状腋动脉瘤。该动脉瘤通过开放切除并用倒置的贵要静脉间置移植进行血运重建，成功得到治疗。
结论
临床医生应意识到上肢AVM患者发生腋动脉瘤的可能性。
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