Department of Vascular Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Department of Science and Research, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Ann Vasc Surg. 2021 Jul;74:523.e1-523.e7. doi: 10.1016/j.avsg.2021.01.107. Epub 2021 Apr 7.
Multiple spontaneous visceral arterial dissections are an infrequent occurrence. The etiology, risk factors and natural history of these dissections have not been elucidated, and the optimal therapeutic strategy has not been established. We report a rare case of multiple spontaneous visceral arterial dissections involving the celiac artery, splenic artery, superior mesenteric artery, and right renal artery in a patient with Tolosa-Hunt syndrome on short-term corticosteroid therapy. The patient was subjected to conservative treatment and endovascular repair, achieving good clinical and radiological outcomes during the long-term follow-up period.
多发性自发性内脏动脉夹层较为罕见。这些夹层的病因、危险因素和自然史尚未阐明，最佳治疗策略也尚未确定。我们报告了一例托洛萨-亨特综合征患者在短期皮质类固醇治疗期间发生的涉及腹腔动脉、脾动脉、肠系膜上动脉和右肾动脉的多发性自发性内脏动脉夹层的罕见病例。该患者接受了保守治疗和血管内修复，在长期随访期间取得了良好的临床和影像学结果。
