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白塞病腹主动脉瘤样主动脉炎的血管内治疗

Endovascular treatment of abdominal aneurysmal aortitis in Behçet's disease.

作者信息

Vasseur M A, Haulon S, Beregi J P, Le Tourneau T, Prat A, Warembourgh H

机构信息

Department of CardioVascular Surgery, Cardiologic Hospital, Lille, France.

出版信息

J Vasc Surg. 1998 May;27(5):974-6. doi: 10.1016/s0741-5214(98)70281-2.

Abstract

Arterial complications of Behçet's disease are rare and affect mainly the aorta and iliac arteries. Perforation of the arterial wall is the most common lesion, predisposing to false aneurysm or rupture. Open surgical repair is difficult, and anastomotic false aneurysms often occur because of aortic wall fragility. We report here the case of using a bifurcated stent to treat aortoiliac false aneurysms in a 37-year-old patient. Endovascular repair could be an alternative treatment of aneurysmal manifestations in Behçet's disease.

摘要

白塞病的动脉并发症罕见,主要累及主动脉和髂动脉。动脉壁穿孔是最常见的病变,易导致假性动脉瘤或破裂。开放手术修复困难,且由于主动脉壁脆弱,常发生吻合口假性动脉瘤。我们在此报告一例使用分叉支架治疗一名37岁患者的主髂动脉假性动脉瘤的病例。血管内修复可能是白塞病动脉瘤表现的一种替代治疗方法。

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