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巨大有症状未破裂的肾旁腹主动脉瘤

Giant Symptomatic Unruptured Juxtarenal Abdominal Aortic Aneurysm.

作者信息

Titarenko Valentin, Beer Anita, Schonefeld-Siepmann Eva, Muschal Felix, Beyer Jochen Karsten

机构信息

Departments of Vascular Surgery, Diagnostik Radiology and Nuclear Medicine, Augusta-Kranken-Anstalt Bochum-Mitte, Bochum, Germany.

Departments of Interventional, Diagnostik Radiology and Nuclear Medicine, Augusta-Kranken-Anstalt Bochum-Mitte, Bochum, Germany.

出版信息

Vasc Specialist Int. 2022 Sep 13;38:23. doi: 10.5758/vsi.220019.

DOI:10.5758/vsi.220019
PMID:36097707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9468660/
Abstract

Herein, we present the case of an 84-year-old male with a 13-cm, symptomatic, unruptured juxtarenal abdominal aortic aneurysm. This aneurysm was successfully treated with open surgical repair, which was deemed satisfactory at the 3-year follow-up. Despite a paradigm shift towards endovascular techniques in aortic repair, postgraduate training with a focused exposure to open aortic surgery at high-volume centers is essential for future vascular surgeons to safely perform complex aortic repairs with acceptable mortality and morbidity rates.

摘要

在此，我们报告一例84岁男性患者，患有一个13厘米、有症状、未破裂的肾旁腹主动脉瘤。该动脉瘤通过开放手术修复成功治疗，在3年随访时效果令人满意。尽管在主动脉修复方面已向血管内技术转变，但未来血管外科医生要想在高容量中心安全地进行复杂主动脉修复并使死亡率和发病率处于可接受水平，接受专注于开放主动脉手术的研究生培训至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/b6ec910b1e0b/vsi-38-23-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/c93fad0db789/vsi-38-23-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/37230a41c7f6/vsi-38-23-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/75861ea3c47f/vsi-38-23-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/b6ec910b1e0b/vsi-38-23-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/c93fad0db789/vsi-38-23-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/37230a41c7f6/vsi-38-23-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/75861ea3c47f/vsi-38-23-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eff/9468660/b6ec910b1e0b/vsi-38-23-f4.jpg

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本文引用的文献

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Comparison between open repair with suprarenal clamping and fenestrated endovascular repair for unruptured juxtarenal abdominal aortic aneurysms.开放修复伴肾上极夹闭与开窗血管内修复治疗未破裂的肾周腹主动脉瘤的比较。
J Cardiovasc Surg (Torino). 2022 Feb;63(1):44-51. doi: 10.23736/S0021-9509.21.11879-8. Epub 2021 Sep 28.
2
The natural history of large abdominal aortic aneurysms in patients without timely repair.未及时修复的大型腹主动脉瘤患者的自然病史。
J Vasc Surg. 2022 Jan;75(1):109-117. doi: 10.1016/j.jvs.2021.07.125. Epub 2021 Jul 26.
3
Thirty-day outcomes of open abdominal aortic aneurysm repair by proximal clamp level in patients with normal and impaired renal function.
肾功能正常和受损患者近端夹闭水平开放腹主动脉瘤修复的 30 天结果。
J Vasc Surg. 2021 Apr;73(4):1234-1244.e1. doi: 10.1016/j.jvs.2020.08.122. Epub 2020 Sep 3.
4
Association between surgeon case volume and years of practice experience with open abdominal aortic aneurysm repair outcomes.外科医生手术量与开放腹主动脉瘤修复结果的实践经验年限之间的关联。
J Vasc Surg. 2021 Apr;73(4):1213-1226.e2. doi: 10.1016/j.jvs.2020.07.065. Epub 2020 Jul 22.
5
The Impact of Proximal Clamp Location on Peri-Operative Outcomes Following Open Surgical Repair of Juxtarenal Abdominal Aortic Aneurysms.近端夹闭位置对开放手术修复肾周腹主动脉瘤围手术期结局的影响。
Eur J Vasc Endovasc Surg. 2020 Mar;59(3):411-418. doi: 10.1016/j.ejvs.2019.10.004. Epub 2019 Dec 18.
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J Cardiovasc Surg (Torino). 2020 Feb;61(1):10-17. doi: 10.23736/S0021-9509.19.11181-0. Epub 2019 Nov 18.
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