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自发性孤立性肠系膜上动脉夹层合并腹腔干狭窄 1 例。

A case of spontaneous isolated superior mesenteric arterial dissection with coeliac axis stenosis.

机构信息

Department of General Surgery, 2nd Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Department of General Surgery, 2nd Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. Email:

出版信息

Cardiovasc J Afr. 2023;34(5):318-320. doi: 10.5830/CVJA-2022-066. Epub 2023 Mar 10.

DOI:10.5830/CVJA-2022-066
PMID:36947166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11040470/
Abstract

Spontaneous isolated superior mesenteric arterial dissection with coeliac axis stenosis is rare but serious. We report a case of a 54-year-old male with coeliac axis stenosis who presented with acute superior mesenteric arterial dissection, which caused thrombosis of the branches. This is the first report of the full course of treatment using endovascular repair and laparoscopic surgery to deal with spontaneous isolated superior mesenteric arterial dissection combined with coeliac axis stenosis. This approach has been shown to be safe and effective for yielding short-term results.

摘要

自发性孤立性肠系膜上动脉夹层合并腹腔干狭窄较为罕见，但后果严重。我们报告了一例 54 岁男性，患有腹腔干狭窄，表现为急性肠系膜上动脉夹层，导致分支血栓形成。这是首例使用血管内修复和腹腔镜手术全程治疗自发性孤立性肠系膜上动脉夹层合并腹腔干狭窄的报告。这种方法已被证明在获得短期效果方面是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/93fc170e9bc2/cvja-34-320-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/574769a42dd2/cvja-34-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/1d0026648fae/cvja-34-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/dc7628c3e163/cvja-34-319-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/93fc170e9bc2/cvja-34-320-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/574769a42dd2/cvja-34-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/1d0026648fae/cvja-34-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/dc7628c3e163/cvja-34-319-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e10/11040470/93fc170e9bc2/cvja-34-320-g004.jpg

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本文引用的文献

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Endovascular Repair of a Complex Isolated Dissecting Aneurysm of the Superior Mesenteric Artery.肠系膜上动脉复杂孤立性夹层动脉瘤的血管内修复术
EJVES Short Rep. 2019 Jun 17;44:5-8. doi: 10.1016/j.ejvssr.2019.05.003. eCollection 2019.
2
Mid-Term Results of Endovascular Treatment for Spontaneous Isolated Dissection of the Superior Mesenteric Artery.自发性孤立性肠系膜上动脉夹层的血管内治疗中期结果。
Eur J Vasc Endovasc Surg. 2019 Jul;58(1):88-95. doi: 10.1016/j.ejvs.2018.11.013. Epub 2019 May 31.
3
Isolated superior mesenteric artery dissection in the emergency department: A rare cause of abdominal pain.
急诊科孤立性肠系膜上动脉夹层：一种罕见的腹痛病因。
Am J Emerg Med. 2018 Dec;36(12):2341.e1-2341.e2. doi: 10.1016/j.ajem.2018.09.033. Epub 2018 Sep 20.
4
Clinical Outcomes of Conservative Treatment in Patients with Symptomatic Isolated Spontaneous Renal Artery Dissection and Comparison with Superior Mesenteric Artery Dissection.症状性孤立性自发性肾动脉夹层保守治疗的临床转归及其与肠系膜上动脉夹层的比较。
Eur J Vasc Endovasc Surg. 2018 Aug;56(2):291-297. doi: 10.1016/j.ejvs.2018.05.002. Epub 2018 May 30.
5
Outcomes of Spontaneous Isolated Superior Mesenteric Artery Dissection Without Antithrombotic Use.自发性孤立性肠系膜上动脉夹层不使用抗血栓药物的治疗结果。
Eur J Vasc Endovasc Surg. 2018 Jan;55(1):132-137. doi: 10.1016/j.ejvs.2017.11.002. Epub 2017 Dec 8.
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Clinical characteristics of spontaneous isolated visceral artery dissection.自发性孤立内脏动脉夹层的临床特征。
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Best Pract Res Clin Gastroenterol. 2016 Apr;30(2):237-48. doi: 10.1016/j.bpg.2016.03.007. Epub 2016 Mar 16.
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Eur J Vasc Endovasc Surg. 2013 Aug;46(2):232-5. doi: 10.1016/j.ejvs.2013.04.035. Epub 2013 Jun 6.
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