10岁女童肾门动脉瘤线圈栓塞后切除术

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-25 DOI:10.1016/j.jvscit.2025.101812

Kento Shinzato MD, Yosuke Inoue MD, Yojiro Koda MD, Takayuki Shijo MD, Yoshimasa Seike MD, Hitoshi Matsuda MD, PhD

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引用次数: 0

摘要

线圈栓塞术是治疗内脏动脉瘤的常用方法。然而，目前尚不清楚它对肾门动脉瘤是否有效，并且线圈本身可引起成像伪影，使囊再扩张的诊断复杂化。这个报告描述了一个10岁的女孩接受开放手术修复左肾门动脉瘤，栓塞5年后再次扩大到50mm。左肾经腹膜外入路经第9个前外侧至直肠旁切口显露。动脉瘤和肾圈一起被切除，肾动脉用隐静脉移植重建。手术保留了肾功能，术后1年未见复发。

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Resection of hilar renal artery aneurysm after coil embolization in 10-year-old girl

Coil embolization is a common treatment for visceral artery aneurysms. However, it is unknown whether it is effective or not for hilar renal artery aneurysms, and the coil itself can cause imaging artifacts, complicating the diagnosis of sac re-expansion. This report describes a 10-year-old girl who underwent open surgical repair for a left hilar renal artery aneurysm that reexpanded up to 50 mm 5 years after embolization. The left kidney was exposed via an extraperitoneal approach through the ninth anterolateral to pararectal incision. The aneurysm was resected along with the coils, and the renal artery was reconstructed using a saphenous vein graft. The procedure preserved renal function, and no recurrence was observed at 1 year postoperatively.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.