Hayakawa Shunta, Saito Jien, Kamiya Shinji, Sone Yoshiaki, Numata Yukihide, Sasaki Hideki
Department of Cardiovascular Surgery, Nagoya City University East Medical Center, Nagoya, Aichi, Japan.
Department of Cardiovascular Surgery, Hokkaido University, Sapporo, Hokkaido, Japan.
Ann Vasc Dis. 2024 Dec 25;17(4):413-416. doi: 10.3400/avd.cr.24-00027. Epub 2024 Oct 24.
Ruptured iliac artery aneurysms are serious conditions with high mortality, occasionally perforating into the venous system. A 73-year-old male presented with left leg edema and a pulsatile left lower abdominal mass. Computed tomography revealed a ruptured left common iliac artery aneurysm with perforation into the left common iliac vein. Additionally, bilateral internal iliac veins were noted to form an anomalous common trunk draining into the left common iliac vein. Treatment involved internal iliac vein balloon occlusion under fluoroscopy followed by open surgery for artificial graft replacement and fistula repair. The patient was discharged on the 8th postoperative day.
髂动脉瘤破裂是一种死亡率很高的严重疾病，偶尔会穿破进入静脉系统。一名73岁男性患者出现左腿水肿和左下腹搏动性肿块。计算机断层扫描显示左髂总动脉瘤破裂并穿破至左髂总静脉。此外，还发现双侧髂内静脉形成一条异常的总干，汇入左髂总静脉。治疗方法包括在透视引导下对髂内静脉进行球囊闭塞，随后进行开放手术，置换人工血管并修复瘘管。患者术后第8天出院。
