Tanaka Haruki, Naito Kazuki, Kobayashi Shota, Komatsu Kazunori
Department of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Japan.
Department of Diagnostic Pathology, Suwa Red Cross Hospital, Suwa, Japan.
J Vasc Surg Cases Innov Tech. 2022 Dec 5;9(1):101071. doi: 10.1016/j.jvscit.2022.11.009. eCollection 2023 Mar.
A 60-year-old man with Loeys-Dietz syndrome (LDS) underwent surgery for multiple left deep femoral artery aneurysms (DFAAs). An intraoperative graft replacement was performed from the common femoral artery to the distal DFAAs; the superficial femoral artery was sutured to the graft. DFAAs in association with LDS and the occurrence of multiple DFAAs are rare. To the best of our knowledge, no studies have reported their coexistence. Graft replacement was decided as the optimal treatment for our patient. However, treatment should be considered on a patient-by-patient basis. Therefore, a lower limb arterial examination should accompany the screening of patients with LDS.
一名患有洛伊斯-迪茨综合征（LDS）的60岁男性因左侧多发股深动脉动脉瘤（DFAA）接受了手术。术中进行了从股总动脉到股深动脉远端的移植物置换；股浅动脉被缝合到移植物上。与LDS相关的DFAA以及多发DFAA的发生较为罕见。据我们所知，尚无研究报道过它们的共存情况。移植物置换被确定为该患者的最佳治疗方法。然而，治疗应根据患者个体情况考虑。因此，对LDS患者进行筛查时应同时进行下肢动脉检查。
