囊肿切除及旁路手术后囊性外膜疾病的早期复发

EJVES Extra Pub Date : 2013-12-01 DOI:10.1016/j.ejvsextra.2013.08.004

D. Misselhorn, T. Beresford, A. Khanafer

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引用次数: 5

摘要

囊外膜病(CAD)是一种罕见的进行性疾病。目前尚无治疗指南。报告1例女性髂外动脉(EIA) CAD患者，既往行囊肿切除和搭桥治疗，复发。冠心病复发，旁路闭塞。我们进行了CAD、EIA和闭塞移植物的整体切除，随后进行了髂-髂骨间置移植物。讨论CAD的各种治疗方案已经发表。将受影响的动脉段留在原位与复发的高风险相关。鉴于疾病的进展性，切除CAD显得至关重要。

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Early Recurrence of Cystic Adventitial Disease Following Cyst Excision and Bypass Surgery

Introduction

Cystic adventitial disease (CAD) is a rare progressive disease. No treatment guidelines exist.

Report

A female with CAD in the external iliac artery (EIA) previously treated with cyst excision and bypass, presented with relapse. The CAD had recurred and the bypass occluded. We performed en-mass resection of CAD, EIA, and occluded graft, followed by ilio-ilial interposition graft.

Discussion

Various treatment options for CAD have been published. Leaving the affected arterial segment in situ is associated with high risk of recurrence. Resection of CAD appears essential in light of the progressive nature of the disease.

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来源期刊

EJVES Extra

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