Su W T, Goldman K A, Riles T S, Rosen R
Division of Vascular Surgery, New York University Medical Center 10016, USA.
J Vasc Surg. 1996 Jan;23(1):152-5. doi: 10.1016/s0741-5214(05)80046-1.
A 69-year-old man with an isolated right internal iliac artery aneurysm measuring 5.6 cm in diameter was treated with percutaneous embolization inducing thrombosis of the aneurysm. Four months later, he was seen with thrombosis of the right common iliac vein and pulmonary embolus. He subsequently underwent ligation of the aneurysm and repair of the right common iliac artery. Computed tomographic and operative findings suggested that the iliac vein thrombosis was the result of direct compression by the aneurysm itself, as well as perianeurysmal inflammation that encased the right common iliac vein. This report summarizes this case and presents a new potential long-term complication after successful selective embolization of an internal iliac artery aneurysm.
一名69岁男性，患有孤立性右髂内动脉瘤，直径5.6厘米，接受了经皮栓塞治疗，导致动脉瘤血栓形成。四个月后，他出现右髂总静脉血栓形成和肺栓塞。随后他接受了动脉瘤结扎和右髂总动脉修复。计算机断层扫描和手术结果表明，髂静脉血栓形成是动脉瘤本身直接压迫以及包裹右髂总静脉的动脉瘤周围炎症所致。本报告总结了该病例，并提出了髂内动脉瘤成功选择性栓塞后一种新的潜在长期并发症。
