Terrinoni V, Rengo M, Bianchi G, Lamazza A, Cosimati A, Antognoli M G, Anselmi W, Cosimati P, Abate O, Bellini N
Istituto di I Clinica Chirurgica, Università degli Studie La Sapienza, Roma.
G Chir. 1995 Apr;16(4):191-4.
After reviewing current and past medical Literature regarding celiac axis aneurysms the case of a 70 year-old emphysematous patient with an aneurysm of the celiac axis measuring 6 cm in diameter is reported. The patient's pulmonary function testing status strongly precluded a surgical option. Angiographic embolization of the aneurysm was then performed. The Authors observed that embolization with immediate occlusion of all afferent vessels of the celiac axis leads to no serious short or long-term consequences as long as an adequate collateral hepatic circulation is maintained through the gastroduodenal and inferior pancreaticoduodenal arteries. This case would appear to be the first described in the Literature and the Authors hold this technique to be a valid alternative whenever a surgical procedure would be difficult or impossible to perform.
在查阅了有关腹腔干动脉瘤的当前和既往医学文献后，报告了一例70岁的肺气肿患者，其腹腔干动脉瘤直径达6厘米。患者的肺功能测试状况严重排除了手术选择。随后对动脉瘤进行了血管造影栓塞术。作者观察到，只要通过胃十二指肠动脉和胰十二指肠下动脉维持足够的肝侧支循环，对腹腔干所有传入血管进行即时闭塞的栓塞术不会导致严重的短期或长期后果。该病例似乎是文献中首次描述的，作者认为，只要手术操作困难或无法进行，该技术就是一种有效的替代方法。
