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慢性可卡因滥用继发肋间动脉瘤形成

Intercostal Artery Aneurysmosis Secondary to Chronic Cocaine Abuse.

作者信息

Agarwal Amit, Kukkar Vishal, Vijay Kanupriya

机构信息

Radiology, Mayo Clinic, Jacksonville, USA.

Radiology, University of Texas Southwestern Medical Center, Dallas, USA.

出版信息

Cureus. 2022 Jan 22;14(1):e21487. doi: 10.7759/cureus.21487. eCollection 2022 Jan.

DOI:10.7759/cureus.21487
PMID:35111491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8791763/
Abstract

Intercostal artery aneurysms are rare entities usually seen in connective tissue disorders and inflammatory conditions and syndromes like Ehlers-Danlos syndrome, Kawasaki's disease, and neurofibromatosis. Spontaneous development of intercostal aneurysm is rare and the presence of multiple aneurysms/aneurysmosis is exceedingly rare. Although there have been a few case reports on aortic aneurysm, coronary artery aneurysms and many on ruptured cerebral aneurysms, we could not find a single case of spontaneous intercostal artery aneurysm secondary to chronic cocaine abuse. We report an exceedingly rare case of intercostal artery aneurysmosis presumably secondary to long-term cocaine abuse. Intercostal artery aneurysm is the least common visceral aneurysm and given the very limited literature on this subject, the pathogenesis is poorly understood.

摘要

肋间动脉瘤是罕见的疾病,通常见于结缔组织疾病、炎症性疾病以及诸如埃勒斯-当洛综合征、川崎病和神经纤维瘤病等综合征。肋间动脉瘤的自发形成很罕见,而多发性动脉瘤/动脉瘤病的存在极为罕见。虽然已有一些关于主动脉瘤、冠状动脉瘤的病例报告,以及许多关于破裂脑动脉瘤的报告,但我们未发现一例继发于慢性可卡因滥用的自发性肋间动脉瘤病例。我们报告一例极罕见的肋间动脉瘤病,推测继发于长期可卡因滥用。肋间动脉瘤是最不常见的内脏动脉瘤,鉴于关于该主题的文献非常有限,其发病机制尚不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62bc/8791763/f3d93f9ef052/cureus-0014-00000021487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62bc/8791763/a58de99a664d/cureus-0014-00000021487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62bc/8791763/f3d93f9ef052/cureus-0014-00000021487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62bc/8791763/a58de99a664d/cureus-0014-00000021487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62bc/8791763/f3d93f9ef052/cureus-0014-00000021487-i02.jpg

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本文引用的文献

1
Endovascular management of unruptured intercostal artery aneurysms.未破裂肋间动脉瘤的血管内治疗
CVIR Endovasc. 2019;2(1):2. doi: 10.1186/s42155-018-0048-7. Epub 2019 Jan 4.
2
Rare Case of Cocaine-Induced Aortic Aneurysm: A Near Dissection Event.可卡因诱发主动脉瘤罕见病例:一例接近主动脉夹层的事件。
Case Rep Cardiol. 2017;2017:1785410. doi: 10.1155/2017/1785410. Epub 2017 Dec 14.
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Ruptured intercostal artery pseudoaneurysm: a rare cause of acute back pain.肋间动脉假性动脉瘤破裂:急性背痛的罕见原因。
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Intercostal artery aneurysmosis.肋间动脉动脉瘤。
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Recurrent rupture of intercostal artery aneurysms in neurofibromatosis type 1.1型神经纤维瘤病中间隙动脉动脉瘤的复发性破裂
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