Lang S J, Gewirtz H S, Baker J D
J Cardiovasc Surg (Torino). 1985 Nov-Dec;26(6):595-7.
Suprarenal abdominal aortic aneurysms are rare and pose special problems in diagnosis and management. These aneurysms often involve one or more visceral branches and frequently require a thoracoabdominal approach for surgical repair. The operative management of an unusual saccular suprarenal aortic aneurysm suspected to be of mycotic etiology is discussed. The diagnosis was made preoperatively with the aid of CT scanning and arteriography. Surgical repair was accomplished through an abdominal approach by excision and primary closure using a lateral suture technique.
肾上腺旁腹主动脉瘤较为罕见，在诊断和治疗方面存在特殊问题。这些动脉瘤常累及一个或多个内脏分支，手术修复通常需要采用胸腹联合切口。本文讨论了一例疑似霉菌性病因的罕见囊状肾上腺旁主动脉瘤的手术治疗。术前通过CT扫描和动脉造影确诊。采用腹部切口，运用外侧缝合技术切除动脉瘤并进行一期缝合，完成手术修复。
