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使用主动脉袖带预防II型内漏成功对马蹄肾合并副肾动脉患者进行腹主动脉瘤腔内修复术

Successful Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with a Horseshoe Kidney and Accessory Renal Arteries Using an Aortic Cuff to Prevent Type II Endoleak.

作者信息

Mikami Takuma, Kamada Takeshi, Uchiyama Hiroki, Kuroda Yosuke, Harada Ryo, Naraoka Syuichi, Kawaharada Nobuyoshi

机构信息

Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.

出版信息

Ann Vasc Dis. 2021 Mar 25;14(1):52-55. doi: 10.3400/avd.cr.20-00099.

DOI:10.3400/avd.cr.20-00099
PMID:33786100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7991712/
Abstract

A 78-year-old man presented with an abdominal aortic aneurysm (AAA) and a horseshoe kidney coexisting with accessory renal arteries. We performed surgical treatment with endovascular aneurysm repair, sacrificing the accessory renal arteries. We used an aortic cuff to prevent a type II endoleak from the inferior mesenteric and accessory renal arteries. Decreased renal function was transient, and postoperative computed tomography showed no endoleak. This case report supports the feasibility of endovascular surgery for treating AAA in patients with a horseshoe kidney.

摘要

一名78岁男性患者，患有腹主动脉瘤（AAA），同时存在马蹄肾及副肾动脉。我们采用血管腔内动脉瘤修复术进行手术治疗，牺牲了副肾动脉。我们使用主动脉袖带以防止来自肠系膜下动脉和副肾动脉的II型内漏。肾功能下降是短暂的，术后计算机断层扫描显示无内漏。本病例报告支持血管腔内手术治疗马蹄肾患者腹主动脉瘤的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/9e66529f0696/avd-14-1-cr.20-00099-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/284f8647c9d2/avd-14-1-cr.20-00099-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/ec18b01e2647/avd-14-1-cr.20-00099-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/9e66529f0696/avd-14-1-cr.20-00099-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/284f8647c9d2/avd-14-1-cr.20-00099-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/ec18b01e2647/avd-14-1-cr.20-00099-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a209/7991712/9e66529f0696/avd-14-1-cr.20-00099-figure03.jpg

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Successful Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with a Horseshoe Kidney and Accessory Renal Arteries Using an Aortic Cuff to Prevent Type II Endoleak.使用主动脉袖带预防II型内漏成功对马蹄肾合并副肾动脉患者进行腹主动脉瘤腔内修复术
Ann Vasc Dis. 2021 Mar 25;14(1):52-55. doi: 10.3400/avd.cr.20-00099.
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本文引用的文献

1
Surgical treatment of abdominal aortic aneurysm associated with horseshoe kidney: symphysiotomy using harmonic focus.马蹄肾合并腹主动脉瘤的外科治疗：使用谐波聚焦进行耻骨联合切开术。
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The renal impact of aortic stent-grafting in patients with a horseshoe kidney.马蹄肾患者主动脉覆膜支架植入术对肾脏的影响
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Endovascular aneurysm repair: Treatment of choice for abdominal aortic aneurysm coincident with horseshoe kidney? Three case reports and review of literature.
血管内动脉瘤修复术：马蹄肾合并腹主动脉瘤的首选治疗方法？三例病例报告及文献综述
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Spiral CT during selective accessory renal artery angiography: assessment of vascular territory before aortic stent-grafting.选择性副肾动脉血管造影期间的螺旋CT：主动脉覆膜支架置入术前血管区域的评估
Cardiovasc Intervent Radiol. 1998 Mar-Apr;21(2):179-82. doi: 10.1007/s002709900239.