巨大有症状未破裂的肾旁腹主动脉瘤

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

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.

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

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.

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。