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无症状性肝动脉瘤的血管内治疗：病例报告

Endovascular treatment of an asymptomatic hepatic artery aneurism: case report.

作者信息

O'Connell João Lucas, Faria Lucas Antônio Oliveira, de Souza Marcela Gomes, Meneses Gabriel Alves, Carrijo Alice Mirane Malta

机构信息

Universidade Federal de Uberlândia - UFU, Faculdade de Medicina - FAMED, Uberlândia, MG, Brasil.

出版信息

J Vasc Bras. 2021 Aug 13;20:e20200123. doi: 10.1590/1677-5449.200123. eCollection 2021.

DOI:10.1590/1677-5449.200123
PMID:34456983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8366405/
Abstract

We report a case of an asymptomatic, 77-year-old, male patient with arterial hypertension and no other comorbidities or risk factors for coronary disease. During a routine abdominal ultrasound examination, he was diagnosed with a hepatic vascular mass with an approximate diameter of 5 cm. Abdominal computed angiotomography was requested, showing an aneurysm of the hepatic artery, with maximum diameter of up to 5.2 cm, longest longitudinal axis of 7.2 cm, and a maximum true lumen caliber of 3.0 cm. We opted for endovascular aneurysm repair with implantation of three sequential Lifestream covered vascular stents (7x58mm, 8x58mm, and 8x37mm), successfully diverting the flow through the stents and excluding the aneurysm. The patient remains asymptomatic and free from clinical complications 2 years after the procedure. Control examinations with arterial duplex ultrasound 6 and 12 months after the procedure showed good flow through the stents with no leakage into the aneurysmal sac.

摘要

我们报告一例病例，患者为一名77岁男性，无症状，患有动脉高血压，无其他合并症或冠心病危险因素。在一次常规腹部超声检查中，他被诊断出肝脏有一个血管性肿块，直径约5厘米。随后进行了腹部计算机血管造影，显示肝动脉有一个动脉瘤，最大直径达5.2厘米，最长纵轴为7.2厘米，最大真腔内径为3.0厘米。我们选择采用血管内动脉瘤修复术，植入三个连续的Lifestream覆膜血管支架（7x58mm、8x58mm和8x37mm），成功使血流通过支架并排除动脉瘤。术后2年，患者仍无症状，无临床并发症。术后6个月和12个月的动脉双功超声对照检查显示，支架内血流良好，无漏血进入动脉瘤囊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/9150d001a724/jvb-20-e20200123-g05.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/53563fbfbf4a/jvb-20-e20200123-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/888d7be6e464/jvb-20-e20200123-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/ba9aea426a57/jvb-20-e20200123-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/a8b9b8f308e8/jvb-20-e20200123-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/05798b452388/jvb-20-e20200123-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/cf209042bf2f/jvb-20-e20200123-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/840aedca7911/jvb-20-e20200123-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/8366405/ba9aea426a57/jvb-20-e20200123-g04.jpg
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