García de la Torre A, Lozano P, Corominas C, Juliá J, Blanes I, Flores D, Manuel-Rimbau E
Sección de Angiología y Cirugía Vascular, Hospital Son Dureta, Palma de Mallorca.
Rev Esp Enferm Dig. 1994 Feb;85(2):131-5.
Intestinal artery aneurysms are usually asymptomatic; however when rupture occurs, mortality rates of up to 75% have been reported. Celiac artery aneurysms are quite infrequent, only about 4% of all visceral aneurysms; their association with Aortic Aneurysms is found in 18% of cases; their association with popliteal aneurysms has not been documented so far. A case of an adult male with celiac artery aneurysm associated with Aortic and Popliteal Aneurysms is reported. The patient was operated. In a first procedure the celiac and aortic aneurysms were resected, an aortic graft was placed, and hepatic artery reimplantation was performed; in a second procedure the popliteal artery was resected and a vascular reconstruction performed. The postoperative course was uneventful, and the patient remains asymptomatic two years later. Diagnosis was based on a CT scan with selective visceral angiography. Elective surgical intervention must be performed when intestinal artery aneurysms are discovered.
肠系膜动脉瘤通常无症状；然而，一旦破裂，据报道死亡率高达75%。腹腔干动脉瘤相当罕见，仅占所有内脏动脉瘤的约4%；在18%的病例中发现其与主动脉瘤有关联；迄今为止，尚未有其与腘动脉瘤有关联的记录。本文报告了一例成年男性腹腔干动脉瘤合并主动脉瘤和腘动脉瘤的病例。该患者接受了手术。在第一次手术中，切除了腹腔干和主动脉瘤，置入了主动脉移植物，并进行了肝动脉再植术；在第二次手术中，切除了腘动脉并进行了血管重建。术后过程顺利，患者两年后仍无症状。诊断基于CT扫描和选择性内脏血管造影。发现肠系膜动脉瘤时必须进行择期手术干预。
