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采用开放隔膜切除术对有症状的肠系膜上动脉夹层进行杂交修复。

Hybrid repair of symptomatic superior mesenteric artery dissection, utilizing open septectomy.

作者信息

Dyrud Paul, Hohenwalter Eric, Rasheed Amer, Malinowski Michael

机构信息

Department of Surgery, Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI.

Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WI.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Mar 13;10(3):101481. doi: 10.1016/j.jvscit.2024.101481. eCollection 2024 Jun.

DOI:10.1016/j.jvscit.2024.101481
PMID:38666002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11043858/
Abstract

We present a case of acute isolated superior mesenteric artery dissection with symptomatic bowel malperfusion requiring surgical intervention. We recommend clinicians and surgeons maintain a high clinical suspicion for mesenteric ischemia in patients presenting with isolated superior mesenteric artery dissection and describe a hybrid open surgical/endovascular approach that can safely be utilized in patients requiring intervention.

摘要

我们报告一例急性孤立性肠系膜上动脉夹层，伴有有症状的肠灌注不良，需要手术干预。我们建议临床医生和外科医生对出现孤立性肠系膜上动脉夹层的患者保持高度的临床怀疑，并描述一种可安全用于需要干预的患者的开放手术与血管腔内治疗相结合的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/96c9337f918c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/0d10389f5191/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/7617f1f6344e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/38ed7d233b91/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/ff4c64d37817/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/0c637dea3dbc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/42e77eff82d5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/96c9337f918c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/0d10389f5191/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/7617f1f6344e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/38ed7d233b91/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/ff4c64d37817/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/0c637dea3dbc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/42e77eff82d5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b6c/11043858/96c9337f918c/gr7.jpg

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本文引用的文献

1
Isolated superior mesenteric artery dissection: An updated review of the literature.孤立性肠系膜上动脉夹层：文献综述更新
J Interv Med. 2023 Apr 24;6(2):69-73. doi: 10.1016/j.jimed.2023.04.006. eCollection 2023 May.
2
Factors Associated with Failed Conservative Management in Symptomatic Isolated Mesenteric Artery Dissection.与症状性孤立性肠系膜动脉夹层保守治疗失败相关的因素。
Eur J Vasc Endovasc Surg. 2019 Sep;58(3):393-399. doi: 10.1016/j.ejvs.2019.03.039. Epub 2019 Jul 19.
3
Systematic review and meta-analysis of current evidence in spontaneous isolated celiac and superior mesenteric artery dissection.
自发性孤立性腹腔干和肠系膜上动脉夹层的现有证据的系统回顾和荟萃分析。
J Vasc Surg. 2018 Oct;68(4):1228-1240.e9. doi: 10.1016/j.jvs.2018.05.014. Epub 2018 Aug 17.
4
Outcomes of Treatment Strategies for Isolated Spontaneous Dissection of the Superior Mesenteric Artery: A Systematic Review.肠系膜上动脉孤立性自发性夹层治疗策略的结果：一项系统评价
Ann Vasc Surg. 2018 Feb;47:284-290. doi: 10.1016/j.avsg.2017.07.027. Epub 2017 Jul 25.
5
Three Case Report of Spontaneous Isolated Dissection of the Superior Mesenteric Artery-With an Algorithm Proposed for the Management.肠系膜上动脉自发性孤立性夹层三例报告——并提出一种管理算法
Ann Vasc Dis. 2015;8(2):120-3. doi: 10.3400/avd.cr.15-00013. Epub 2015 May 26.
6
Treatment results for spontaneous isolated superior mesenteric artery dissection according to our previous guidelines and collective literature review.根据我们之前的指南和文献综述，自发性孤立性肠系膜上动脉夹层的治疗结果。
Ann Vasc Surg. 2014 Oct;28(7):1595-601. doi: 10.1016/j.avsg.2014.04.007. Epub 2014 May 21.
7
Natural history of spontaneous isolated superior mesenteric artery dissection derived from follow-up after conservative treatment.自发性孤立性肠系膜上动脉夹层的自然病史源于保守治疗后的随访。
J Vasc Surg. 2011 Dec;54(6):1727-33. doi: 10.1016/j.jvs.2011.07.052. Epub 2011 Sep 23.
8
Spontaneous isolated superior mesenteric artery dissection: a case report and literature review with management algorithm.自发性孤立性肠系膜上动脉夹层：一例报告及附管理策略的文献综述
Ann Vasc Surg. 2009 Nov-Dec;23(6):788-98. doi: 10.1016/j.avsg.2008.12.006. Epub 2009 May 21.