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开放修复术后腹主动脉瘤瘤囊延迟破裂。

Delayed abdominal aortic aneurysm sac rupture after open repair.

作者信息

Asha Ahmad, Khan Adnan, Joshi Gaurang, El Khoury Rym, Jacobs Chad E, Schwartz Lewis B, Marinov Marin

机构信息

Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL.

Department of Surgery, Division of Vascular Surgery, NorthShore University Health System, Evanston, IL.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jun 5;10(5):101552. doi: 10.1016/j.jvscit.2024.101552. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101552
PMID:39281287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11400978/
Abstract

Open surgical repair of abdominal aortic aneurysm (AAA) is often regarded as a near-permanent operation with little long-term complications. Reported herein is a case of delayed rupture of an enlarging AAA sac after open repair requiring re-exploration in a patient presenting with flank pain and ipsilateral hydronephrosis. The natural history of a large, excluded aneurysm sac after open AAA repair, hypothesized etiology for this rare occurrence, and proposed diagnostic and therapeutic algorithm are described.

摘要

腹主动脉瘤（AAA）的开放手术修复通常被视为一种几乎永久性的手术，长期并发症很少。本文报告了一例开放修复后扩大的AAA瘤囊延迟破裂的病例，该患者出现胁腹疼痛和同侧肾积水，需要再次手术探查。描述了开放AAA修复术后大型排除性动脉瘤瘤囊的自然病程、这种罕见情况的假设病因以及建议的诊断和治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/75ccaceb21bf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/e3731a92311c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/baeafda4e1ab/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/4e988a1c64d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/0dc82006f36a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/75ccaceb21bf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/e3731a92311c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/baeafda4e1ab/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/4e988a1c64d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/0dc82006f36a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab45/11400978/75ccaceb21bf/gr5.jpg

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本文引用的文献

1
Management of Endoleaks After Elective Infrarenal Aortic Endovascular Aneurysm Repair: A Review.择期肾下主动脉血管内修复术后内漏的处理：综述
JAMA Surg. 2023 Sep 1;158(9):965-973. doi: 10.1001/jamasurg.2023.2934.
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Endotension: twenty years of a controversial term.内张力：一个存在争议的术语二十年
CVIR Endovasc. 2021 Jun 5;4(1):46. doi: 10.1186/s42155-021-00238-2.
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Rate of Secondary Intervention After Open Versus Endovascular Abdominal Aortic Aneurysm Repair.开放手术与血管腔内修复腹主动脉瘤后二次干预的发生率
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The Society for Vascular Surgery practice guidelines on follow-up after vascular surgery arterial procedures.血管外科学会关于血管手术后随访的实践指南。
J Vasc Surg. 2018 Jul;68(1):256-284. doi: 10.1016/j.jvs.2018.04.018.
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Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms.腹主动脉瘤开放修复或血管腔内修复后的长期生存情况及二次手术
J Vasc Surg. 2017 Nov;66(5):1379-1389. doi: 10.1016/j.jvs.2017.05.122.
6
Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial.英国血管内动脉瘤修复试验 1（EVAR 试验 1）15 年随访的血管内与开放修复腹主动脉瘤的比较：一项随机对照试验。
Lancet. 2016 Nov 12;388(10058):2366-2374. doi: 10.1016/S0140-6736(16)31135-7. Epub 2016 Oct 12.
7
Frequency, risk factors, and management of perigraft seroma after open abdominal aortic aneurysm repair.开放腹主动脉瘤修复术后吻合口周围血清肿的频率、危险因素及处理。
J Vasc Surg. 2011 Sep;54(3):637-43. doi: 10.1016/j.jvs.2011.03.258. Epub 2011 May 28.
8
Commentary. Does sac size matter? Findings based on surgical exploration of excluded abdominal aortic aneurysms.述评。囊袋大小重要吗？基于对排除在外的腹主动脉瘤进行手术探查的结果
Perspect Vasc Surg Endovasc Ther. 2005 Dec;17(4):382-4. doi: 10.1177/153100350501700416.
9
Recurrent symptomatic aortic sac seroma after open abdominal aortic aneurysm repair.腹主动脉瘤开放修复术后复发性症状性主动脉囊血清肿
J Vasc Surg. 2005 Jun;41(6):1058-60. doi: 10.1016/j.jvs.2005.02.031.
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Endoleak and endotension following open abdominal aortic aneurysm repair: a report of two cases.
Ann Vasc Surg. 2005 May;19(3):431-3. doi: 10.1007/s10016-005-0022-4.