Ohtake H, Mukai K, Watanabe Y
Department of Cardiovascular Surgery, Maizuru Kyosai Hospital - Maizuru, Kyoto, Japan.
J Cardiovasc Surg (Torino). 1996 Jun;37(3):249-50.
Small abdominal aortic aneurysm rupture is uncommon and fatal. We report a case of twice sealed-rupture small abdominal aneurysm 3.5 cm in diameter. Computed tomography showed unusual findings of a hematoma-like multiple cyst around the small aneurysm. We were bothered the diagnosis. By the intraoperative finding; an irregular pseudoaneurysm, the final diagnosis was performed. After aneurysmectomy, artificial graft replacement was made. From only this case, discussion of the indications for the small abdominal aortic aneurysm is difficult. However, the possibility of the rupture in even this [correction of thus] small abdominal aortic aneurysm should be considered.
小的腹主动脉瘤破裂并不常见且会致命。我们报告一例直径3.5厘米的小腹主动脉瘤两次破裂后封闭的病例。计算机断层扫描显示小动脉瘤周围有类似血肿的多个囊肿这一不寻常发现。我们在诊断上遇到了困扰。通过术中发现——一个不规则的假性动脉瘤，最终做出了诊断。动脉瘤切除术后，进行了人工血管置换。仅从这一病例来看，很难讨论小腹主动脉瘤的治疗指征。然而，即使是这种小的腹主动脉瘤也应考虑其破裂的可能性。
