Oyama Shogo, Ohuchi Shingo, Arai Takeshi, Ito Yukinobu
Department of Cardiovascular Surgery, Nakadori General Hospital, Akita, Japan.
Department of Cellular and Organ Pathology, Akita University Graduate School of Medicine, Akita, Japan.
J Vasc Surg Cases Innov Tech. 2021 Feb 10;7(2):280-282. doi: 10.1016/j.jvscit.2021.01.007. eCollection 2021 Jun.
A chronic contained rupture is an extremely rare subtype of abdominal aortic aneurysm rupture. We report the case of a 59-year-old man with a medical history of traumatic lumber fracture 7 years ago. He presented to us with an asymptomatic irregular abdominal aortic aneurysm, and surgery was performed 1 week after he was hospitalized. Based on the medical history, imaging, blood tests, and pathologic results, we determined that the chronic contained rupture progressed from a localized abdominal aortic dissection. This case illustrates the need to follow the morphology of aortic aneurysms if chronic abdominal aortic dissection is observed.
慢性局限性破裂是腹主动脉瘤破裂极为罕见的一种亚型。我们报告一例59岁男性病例，该患者7年前有外伤性腰椎骨折病史。他因无症状性不规则腹主动脉瘤前来就诊，住院1周后接受了手术。根据病史、影像学检查、血液检查及病理结果，我们判定该慢性局限性破裂由局限性腹主动脉夹层发展而来。此病例表明，如果观察到慢性腹主动脉夹层，有必要追踪主动脉瘤的形态。
