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采用动脉瘤切除术和间置旁路术成功治疗一例罕见的6.5厘米股深动脉真性动脉瘤。

Successful treatment of a rare 6.5-cm true profunda femoris artery aneurysm with aneurysmectomy and interposition bypass.

作者信息

Kattih Obada, Harry Lauren, Baldwin Erin

机构信息

Morsani College of Medicine, University of South Florida, Tampa, FL.

Department of Vascular Surgery, University of South Florida Morsani College of Medicine, Tampa, FL.

出版信息

J Vasc Surg Cases Innov Tech. 2023 Jan 13;9(2):101097. doi: 10.1016/j.jvscit.2023.101097. eCollection 2023 Jun.

DOI:10.1016/j.jvscit.2023.101097
PMID:36970133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10033977/
Abstract

Profunda femoris artery aneurysms (PFAAs) are rare and account for only 0.5% of all peripheral artery aneurysms. Potential complications include compression of surrounding nerves and veins, limb ischemia, and rupture. Currently there are no guidelines on the management of true PFAAs, and suggested treatment modalities include endovascular, open, and hybrid approaches. We report a case of an 82-year-old male with a history of aneurysmal disease who presented with a symptomatic 6.5-cm PFAA. He underwent successful aneurysmectomy and interposition bypass, which remains an effective method for treatment of this rare pathology.

摘要

股深动脉动脉瘤(PFAA)较为罕见,仅占所有周围动脉动脉瘤的0.5%。潜在并发症包括压迫周围神经和静脉、肢体缺血及破裂。目前对于真性PFAA的治疗尚无指南,建议的治疗方式包括血管腔内治疗、开放手术及杂交手术。我们报告一例82岁男性患者,有动脉瘤病史,因6.5厘米有症状的PFAA前来就诊。他接受了成功的动脉瘤切除术及间置旁路移植术,这仍是治疗这种罕见病变的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d6/10033977/389f6ce1d557/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d6/10033977/6c82d4d33b35/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d6/10033977/389f6ce1d557/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d6/10033977/6c82d4d33b35/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27d6/10033977/389f6ce1d557/gr2.jpg

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本文引用的文献

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Case Rep Vasc Med. 2015;2015:375278. doi: 10.1155/2015/375278. Epub 2015 Apr 30.
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The current management of isolated degenerative femoral artery aneurysms is too aggressive for their natural history.目前,对于孤立性退行性股动脉瘤的治疗过于激进,不符合其自然病史。
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双侧股深动脉真性巨大动脉瘤:病例报告及文献复习
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Profunda femoris artery aneurysms: association with aneurysmal disease and limb ischemia.股深动脉动脉瘤:与动脉瘤性疾病及肢体缺血的关联。
J Vasc Surg. 2008 Jan;47(1):31-4; discussion 34-5. doi: 10.1016/j.jvs.2007.09.040.
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