Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Vasc Endovascular Surg. 2024 Apr;58(4):410-413. doi: 10.1177/15385744231215551. Epub 2023 Nov 15.
Gastroduodenal artery aneurysms are a rare type of visceral aneurysm that can lead to rupture and death. We present a 75-year-old male with history of hypertension, diabetes, and hyperlipidemia with an incidental finding of a 3.2 × 3.7 cm gastroduodenal aneurysm found on abdominal computed tomography angiography (CTA). After refusing surgical intervention, he was seen two years later and presented with an enlarged gastroduodenal aneurysm, now 5.0 × 5.1 cm, visible on a repeat abdominal CTA. Upon his continued refusal for an open surgery, we elected for endovascular repair of this GDA aneurysm via coil embolization.
胃十二指肠动脉动脉瘤是一种罕见的内脏动脉瘤，可导致破裂和死亡。我们报告了一例 75 岁男性，有高血压、糖尿病和高血脂病史，腹部 CT 血管造影（CTA）偶然发现 3.2×3.7cm 胃十二指肠动脉瘤。拒绝手术干预后，两年后复查时发现胃十二指肠动脉瘤增大，现直径为 5.0×5.1cm，再次行腹部 CTA 可见。由于患者持续拒绝开腹手术，我们选择通过线圈栓塞进行该胃十二指肠动脉动脉瘤的血管内修复。
