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巨大腹主动脉瘤

Giant abdominal aortic aneurysms.

作者信息

Ng Joshua I, Nguyen Tuong, Tarpara Anand, Salvatore Dawn, DiMuzio Paul, Abai Babak

机构信息

Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospital, Philadelphia, Pa.

出版信息

J Vasc Surg Cases Innov Tech. 2021 May 20;7(4):659-664. doi: 10.1016/j.jvscit.2021.04.016. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.04.016
PMID:34693098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8515081/
Abstract

Giant abdominal aortic aneurysms (AAAs) are defined as AAAs >10 to 13 cm in the maximum transverse diameter. We have described a case of a patient who had presented for open repair of an 18-cm AAA and a review of reported cases of giant AAAs >10 cm in the maximum transverse diameter. Forty cases were compiled. The average maximum AAA diameter was 14.5 ± 4.1 cm. The AAA was ruptured on presentation in 12 patients (30%). Of the 40 cases, 34 (85%) were repaired with open surgery. The reported mortality was 15%. Despite the case complexity, five endovascular repairs were attempted.

摘要

巨大腹主动脉瘤（AAA）定义为最大横径大于10至13厘米的腹主动脉瘤。我们描述了一例前来接受18厘米腹主动脉瘤开放修复手术的患者病例，并回顾了已报道的最大横径大于10厘米的巨大腹主动脉瘤病例。共收集了40例病例。腹主动脉瘤平均最大直径为14.5±4.1厘米。12例患者（30%）就诊时腹主动脉瘤已破裂。在这40例病例中，34例（85%）接受了开放手术修复。报道的死亡率为15%。尽管病例复杂，但仍尝试了5例血管腔内修复术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/968db28e4c3f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/f59fe442b4a4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/a57caedae04b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/968db28e4c3f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/f59fe442b4a4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/a57caedae04b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/8515081/968db28e4c3f/gr3.jpg

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