Miyano Yuta, Mitsuoka Hiroshi, Suzuki Takahiro
Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.
J Vasc Surg Cases Innov Tech. 2024 Oct 26;11(1):101665. doi: 10.1016/j.jvscit.2024.101665. eCollection 2025 Feb.
A case of a superior mesenteric artery aneurysm presented with an impending rupture. The aneurysm was located in the right side branch of the superior mesenteric artery. The patient underwent an emergency hybrid procedure, which included aneurysm embolization and exclusion of the aneurysm with an endoluminal stent graft. The blood supply to the right side branch was restored by bypass grafting with an autologous vein graft. The postoperative course was uneventful with no evidence of mesenteric ischemia. Postoperative computed tomography angiography confirmed complete aneurysm exclusion and sac size reduction, as well as patency of the stent graft and bypass.
一例肠系膜上动脉动脉瘤患者出现即将破裂的情况。该动脉瘤位于肠系膜上动脉的右侧分支。患者接受了急诊杂交手术，包括动脉瘤栓塞以及使用腔内支架移植物排除动脉瘤。通过自体静脉移植物搭桥恢复了右侧分支的血供。术后过程顺利，无肠系膜缺血迹象。术后计算机断层扫描血管造影证实动脉瘤被完全排除且瘤腔大小缩小，同时支架移植物和搭桥血管通畅。
