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一名临床诊断为马凡综合征的患者出现腘动脉动脉瘤破裂。

Ruptured popliteal artery aneurysm in a patient with a clinical diagnosis of Marfan syndrome.

作者信息

Duarte Gabriel Paiva, da Cunha Jorge Ribeiro

机构信息

Universidade Federal Fluminense - UFF, Faculdade de Medicina, Niterói, RJ, Brasil.

Hospital Estadual Alberto Torres - HEAT, São Gonçalo, RJ, Brasil.

出版信息

J Vasc Bras. 2020 Oct 16;19:e20200017. doi: 10.1590/1677-5449.200017. eCollection 2020.

Abstract

The popliteal artery is the main site of occurrence of peripheral aneurysms. Acute presentations constitute a potential threat to limb viability and to life, especially in the event of rupture. Rupture is a rare event, but one that demands an immediate intervention decision to achieve a satisfactory treatment outcome. The gold standard treatment is conventional surgery, effecting repair by interposition of a great saphenous vein graft. Studies conducted in recent decades have found associations between Marfan Syndrome and peripheral aneurysms. This report presents a case of a ruptured left popliteal artery aneurysm successfully treated in an 82-year-old patient clinically diagnosed with previously unknown Marfan syndrome.

摘要

腘动脉是周围动脉瘤的主要发病部位。急性表现对肢体存活和生命构成潜在威胁,尤其是在破裂的情况下。破裂是一种罕见事件,但需要立即做出干预决定以获得满意的治疗结果。金标准治疗方法是传统手术,通过植入大隐静脉移植物进行修复。近几十年来进行的研究发现马凡综合征与周围动脉瘤之间存在关联。本报告介绍了一例82岁临床诊断为先前未知的马凡综合征的患者,其左腘动脉瘤破裂并成功接受治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150c/8276642/3fa29d0f08df/jvb-19-e20200017-g01-en.jpg

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