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由纤维肌性发育异常引起的无狭窄病变的快速扩张型梭形腹主动脉瘤:1例罕见病例

Rapidly Expanding Fusiform Abdominal Aortic Aneurysm without Stenotic Lesion Caused by Fibromuscular Dysplasia: A Rare Case.

作者信息

Masuda Shinya, Takahashi Daichi, Yanagiya Kazuaki, Otani Masayuki, Sakatsume Ko, Suzuki Nobuaki, Yoshioka Ichiro, Hatakeyama Masaharu, Kurotaki Hidekachi, Nagaya Koichi

机构信息

Department of Cardiovascular Surgery, Aomori Prefectural Central Hospital, Aomori, Aomori, Japan.

Department of Pathology, Aomori Prefectural Central Hospital, Aomori, Aomori, Japan.

出版信息

Ann Vasc Dis. 2024 Dec 25;17(4):443-446. doi: 10.3400/avd.cr.24-00110. Epub 2024 Nov 27.

Abstract

Fibromuscular dysplasia (FMD) is an arterial disease characterized by fibrous arterial wall thickening and irregular proliferation and degeneration of smooth muscle cells in muscular arteries. Abdominal aortic aneurysms (AAA) are rare, with only a few reported cases. A characteristic feature of AAA is an aneurysm protruding forward near the terminal aorta with stenosis. Here, we report a rare case of a 66-year-old woman who underwent abdominal aortic replacement for a fusiform AAA, diagnosed with aortic FMD (without stenotic lesions) on pathological examination.

摘要

纤维肌性发育不良(FMD)是一种动脉疾病,其特征是肌性动脉的纤维性动脉壁增厚以及平滑肌细胞的不规则增殖和变性。腹主动脉瘤(AAA)较为罕见,仅有少数病例报道。AAA的一个特征性表现是在主动脉末端附近有一个向前突出且伴有狭窄的动脉瘤。在此,我们报告一例罕见病例,一名66岁女性因梭形AAA接受了腹主动脉置换术,病理检查诊断为主动脉FMD(无狭窄病变)。

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