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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.

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/6e10/11040470/574769a42dd2/cvja-34-319-g001.jpg

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