Wang Zhenggong, Wan Jia
Department of Vascular Surgery, Affiliated Hospital of Yunnan University, Kunming, Yunnan Province, China.
J Vasc Surg Cases Innov Tech. 2025 Mar 21;11(4):101788. doi: 10.1016/j.jvscit.2025.101788. eCollection 2025 Aug.
Tuberculous abdominal aortic pseudoaneurysm is a severe vascular disease that is exceptionally rare and carries a high risk of rupture. This article reports the rupture of a pseudoaneurysm in a 60-year-old male patient during anti-tuberculosis treatment. The patient's general condition was poor, making him unable to tolerate open surgical treatment. Therefore, endovascular aortic aneurysm repair was performed. The rupture site of the patient's aneurysm was located next to the visceral artery (between the superior mesenteric and renal arteries). During the surgery, we used three-dimensional printing technology to perform fenestrated endovascular repair. The surgery successfully excluded the aneurysm while ensuring blood supply to the visceral arteries. After discharge, the patient received regular anti-tuberculosis treatment. Postoperative follow-up revealed no graft-related complications, and the visceral artery remained unobstructed.
结核性腹主动脉假性动脉瘤是一种极为罕见的严重血管疾病，破裂风险很高。本文报道了一名60岁男性患者在抗结核治疗期间假性动脉瘤破裂的病例。患者一般状况较差，无法耐受开放手术治疗。因此，实施了血管腔内主动脉瘤修复术。患者动脉瘤的破裂部位位于内脏动脉旁（肠系膜上动脉和肾动脉之间）。手术中，我们使用三维打印技术进行开窗血管腔内修复。手术成功排除了动脉瘤，同时确保了内脏动脉的血供。出院后，患者接受了规律的抗结核治疗。术后随访未发现与移植物相关的并发症，内脏动脉保持通畅。
