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小鱼际锤状指综合征尺动脉动脉瘤的外科治疗

Surgical management of ulnar artery aneurysm in hypothenar hammer syndrome.

作者信息

Dos Santos Jonas Almeida, Themótheo Florice de Matos, Nunes Paulo Henrique Silva, Campelo Marcio Wilker Soares

机构信息

Universidade Federal do Ceará - UFC, Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil.

Universidade Federal do Ceará - UFC, Fortaleza, CE, Brasil.

出版信息

J Vasc Bras. 2024 Dec 16;23:e20240016. doi: 10.1590/1677-5449.202400162. eCollection 2024.

Abstract

Ulnar artery aneurysms are extremely rare and are mainly associated with hypothenar hammer syndrome, an ischemic disorder of the hand resulting from mechanical and repetitive trauma to the hypothenar region. The ulnar artery is hit against the hook of the hamate bone, causing damage to the vessel wall and leading to occlusion or formation of an aneurysm. We describe the case of a truck driver who underwent resection of an ulnar artery aneurysm in the right hand and reconstruction using end-to-end anastomosis with no complications or recurrence.

摘要

尺动脉动脉瘤极为罕见,主要与小鱼际锤状指综合征相关,这是一种因小鱼际区域受到机械性反复创伤而导致的手部缺血性疾病。尺动脉受到钩骨钩的撞击,导致血管壁受损,进而引起血管闭塞或动脉瘤形成。我们报告一例卡车司机的病例,该患者接受了右手尺动脉动脉瘤切除术,并采用端端吻合术进行重建,术后无并发症或复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32e6/11702975/33d9572db470/jvb-23-e20240016-g01-en.jpg

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