Van Schil P, De Vries D, Vanmaele R, Demey H
Department of Surgery, University Hospital of Antwerp, Edegem, Belgium.
Angiology. 1994 Jul;45(7):655-61. doi: 10.1177/000331979404500709.
Two patients are described with a combined type B aortic dissection and a fusiform abdominal aortic aneurysm, the dissection not involving the aneurysm. In a seventy-year-old man a type B aortic dissection and a large abdominal aneurysm were found. An infrarenal aortic bifurcation graft was inserted. He died fifteen months later of cardiogenic shock. In a sixty-six-year-old man diagnosis of a primary aortoduodenal fistula was made together with a limited type B dissection. A straight aortic interposition graft was inserted. He died eleven months later of the complications of a secondary aortoduodenal fistula. Although combination of aortic dissection and abdominal aneurysm is a rare occurrence, conservative management of the aortic dissection and interposition graft for the abdominal aneurysm was successful as initial treatment in these 2 patients.
本文描述了两名患有B型主动脉夹层合并梭形腹主动脉瘤的患者，夹层未累及动脉瘤。一名70岁男性患者被发现患有B型主动脉夹层和一个大的腹主动脉瘤。植入了肾下腹主动脉分叉移植物。他在15个月后死于心源性休克。一名66岁男性患者被诊断为原发性主动脉十二指肠瘘合并局限性B型夹层。植入了直型主动脉间置移植物。他在11个月后死于继发性主动脉十二指肠瘘的并发症。尽管主动脉夹层和腹主动脉瘤合并的情况很少见，但对这两名患者的主动脉夹层进行保守治疗，并对腹主动脉瘤进行间置移植物治疗作为初始治疗是成功的。
