Shiraev Timothy P, Kwok Trevor M Y, Rajendran Saissan, Gan John P, Qasabian Raffi A
Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Department of Vascular Surgery, Port Macquarie Base Hospital, Port Macquarie, New South Wales, Australia.
J Vasc Surg Cases Innov Tech. 2016 Aug 25;2(3):126-129. doi: 10.1016/j.jvscit.2016.04.012. eCollection 2016 Sep.
Aortic pseudoaneurysms are uncommon and are usually secondary to penetrating trauma. We describe the presentation and management of an elderly woman who suffered a pseudoaneurysm of the descending thoracic aorta several days after receiving botulinum toxin injection to the esophagus. Urgent thoracic endovascular aortic repair was performed, and long-term antibiotic therapy was commenced. Despite a slow initial clinical recovery, she returned to an independent lifestyle, with radiographic resolution of the pseudoaneurysm seen at follow-up. This case illustrates that endovascular aortic repair is a suitable and safe treatment option for this unusual presentation.
主动脉假性动脉瘤并不常见，通常继发于穿透性创伤。我们描述了一名老年女性的病例，她在接受食管肉毒杆菌毒素注射几天后发生了胸降主动脉假性动脉瘤，并介绍了其临床表现及治疗过程。我们为她进行了紧急胸段血管腔内主动脉修复术，并开始了长期抗生素治疗。尽管最初临床恢复缓慢，但她恢复了独立生活，随访时影像学检查显示假性动脉瘤已消退。该病例表明，血管腔内主动脉修复术是治疗这种罕见病症的一种合适且安全的选择。
