孤立性巨大肾下腹主动脉瘤伴夹层:一例极为罕见的实体瘤病例报告

IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Divij Jayant, A. Behera, Cherring Tandup, S. Nagaraj, Saroj S. Yadav
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引用次数: 0

摘要

尽管腹主动脉瘤(AAA)在老年人的动脉粥样硬化主动脉中很常见,但孤立性AAA(IAAA)是一种罕见的实体。文献中仅报道了少数伴有夹层的IAAA病例报告。在这里,我们介绍了一个中年男性的病例,他表现为腹痛,血流动力学稳定。腹部检查显示左侧脐旁有搏动性肿块。腹部CT血管造影术显示孤立的肾下AAA,夹层延伸至双侧髂总动脉,假腔偏心部分血栓形成。患者接受了成功的聚四氟乙烯移植开放性动脉瘤修补术。术后进展顺利,病人出院后到诊所随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
Although abdominal aortic aneurysm (AAA) is common in the atherosclerotic aorta in the elderly, isolated AAA (IAAA) is a rare entity. Only few case reports of IAAA associated with concomitant dissection are reported in the literature. Here, we present a case of a middle-aged male who presented with abdominal pain with stable hemodynamics. Abdominal examination revealed a pulsatile mass in the left paraumbilical region. CT angiography of the abdomen revealed an isolated infrarenal AAA with dissection extending into the bilateral common iliac arteries and an eccentric partial thrombosis of the false lumen. The patient underwent successful open aneurysmorrhaphy with PTFE graft. Postoperative course was uneventful, and the patient was discharged to follow up in clinics.
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