Wang Jian, Li Changde, Zheng Yi, Liu Jianyong, Sheng Shi, Yuan Zihui, Jin Bi, Li Yiqing
Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Department of Radiology, People's Hospital of Xincai County, Zhumadian City 463599，Henan, China.
Ann Vasc Surg. 2022 Apr;81:387.e1-387.e8. doi: 10.1016/j.avsg.2021.08.012. Epub 2021 Oct 15.
Takayasu arteritis is a chronic inflammatory vasculitis affecting mainly the aorta and its branches. Stenosis and occlusion of the involved vessels usually develop; however, their dilation and aneurysmal formation are extremely rare. Although aneurysmal disease has been reported in adults with Takayasu arteritis, it is a rare entity in children. The present report described an 11-year-old male found to have the subclavian-axillary, abdominal aortoiliac, lower extremity artery aneurysms with mural thrombi. Aneurysms were also found at the proximal and middle segments of the right coronary artery. The patient was conservatively treated with corticosteroid in addition to antiplatelet and anticoagulation agents.
高安动脉炎是一种主要累及主动脉及其分支的慢性炎症性血管炎。受累血管通常会出现狭窄和闭塞；然而，血管扩张和动脉瘤形成极为罕见。虽然已有成人高安动脉炎合并动脉瘤疾病的报道，但在儿童中这是一种罕见的情况。本报告描述了一名11岁男性，发现其锁骨下-腋动脉、腹主动脉-髂动脉、下肢动脉存在动脉瘤并伴有壁血栓形成。右冠状动脉近端和中段也发现了动脉瘤。该患者除接受抗血小板和抗凝药物治疗外，还接受了糖皮质激素保守治疗。
