Will Jack A, Bindi Jonathan M, Crawford John L, West Charles A, Deitch Johnathan S
Division of Vascular Surgery, TCU Burnett School of Medicine, Texas Health Harris Methodist Hospital, Fort Worth, TX.
Department of Surgery, Texas Health Harris Methodist Hospital, Fort Worth, TX.
J Vasc Surg Cases Innov Tech. 2023 Nov 26;10(1):101380. doi: 10.1016/j.jvscit.2023.101380. eCollection 2024 Feb.
Chronic radiation-induced arterial injury is generally predictable by known tumor types and anatomic location. We present the first case of radiation-induced chronic aortic occlusion associated with a small pelvis secondary to the treatment of childhood Ewing sarcoma. The patient presented with profound claudication and accelerated atherosclerosis obliterans of the aortoiliac system and failed endovascular treatment. Successful aortic reconstruction was performed. This case highlights the long-term effects of chemoradiation to the aortoiliac segment and pelvic bones in a child, and the technical challenges of vascular reconstruction in an underdeveloped irradiated pelvis.
慢性辐射诱导的动脉损伤通常可根据已知的肿瘤类型和解剖位置进行预测。我们报告了首例因儿童尤因肉瘤治疗继发的与小骨盆相关的辐射诱导慢性主动脉闭塞病例。该患者出现严重跛行以及腹主动脉-髂动脉系统加速性动脉粥样硬化闭塞，血管内治疗失败。成功实施了主动脉重建术。该病例突出了放化疗对儿童腹主动脉-髂动脉段和骨盆骨骼的长期影响，以及在发育不全的受辐射骨盆中进行血管重建的技术挑战。
