Kim Wonho, Gandhi Ripal T, Peña Constantino S, Tartaglione Robert E, Taubman Michele L, Katzen Barry T
Division of Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, Fla.
Herbert Wertheim College of Medicine, Florida International University, Miami, Fla.
J Vasc Surg Cases Innov Tech. 2016 Aug 28;2(3):145-148. doi: 10.1016/j.jvscit.2016.06.001. eCollection 2016 Sep.
Spontaneous celiac artery dissection caused by fibromuscular dysplasia is rare. Subsequent thrombosis and occlusion of the celiac trunk can result in intestinal ischemia and hepatic failure. We describe a case of spontaneous celiac artery dissection with an associated pseudoaneurysm caused by fibromuscular dysplasia, extending into the common hepatic artery. An endovascular intervention featuring robotic-assisted celiac artery cannulation with stent-assisted coil embolization resulted in successful treatment.
由纤维肌发育异常引起的自发性腹腔干动脉夹层很少见。随后腹腔干的血栓形成和闭塞可导致肠缺血和肝衰竭。我们描述了一例由纤维肌发育异常引起的自发性腹腔干动脉夹层并伴有假性动脉瘤,该夹层延伸至肝总动脉。一项以机器人辅助腹腔干动脉插管并辅以支架辅助弹簧圈栓塞的血管内介入治疗取得了成功。