同时存在的腹腔干动脉瘤和双侧髂动脉瘤的外科治疗。

Surgical management of concurrent, coeliac and bilateral iliac artery aneurysms.

作者信息

Rodrigus I E, Berry M C, Gdeedo A, Van Schil P E, Vanmaele R G

机构信息

Department of Surgery, Antwerp University Hospital and Medical School, Edegem, Belgium.

出版信息

Cardiovasc Surg. 1995 Oct;3(5):501-3. doi: 10.1016/0967-2109(95)94449-7.

DOI:10.1016/0967-2109(95)94449-7

PMID:8574533

Abstract

A 76-year-old man was admitted with bilateral common iliac artery aneurysms found incidentally on computed tomography. Transfemoral digital subtraction arteriography demonstrated atherosclerotic plaques in the aorta with bilateral common iliac artery aneurysms and a coeliac axis aneurysm. The coeliac artery aneurysm was resected and an aortobifemoral bypass performed with reimplantation of the inferior mesenteric artery into the prosthesis. The patient was well when discharged 2 weeks after operation. The incidence, natural history and management of coeliac axis and iliac artery aneurysms are reviewed.

摘要

一名76岁男性因计算机断层扫描偶然发现双侧髂总动脉瘤而入院。经股动脉数字减影血管造影显示主动脉有动脉粥样硬化斑块，伴有双侧髂总动脉瘤和腹腔干动脉瘤。切除腹腔干动脉瘤，并进行主动脉双股动脉旁路移植术，将肠系膜下动脉重新植入人工血管。患者术后2周出院时情况良好。本文对腹腔干动脉瘤和髂动脉瘤的发病率、自然病程及治疗进行了综述。