胃十二指肠动脉直径16.5 cm的真巨大动脉瘤伴门动脉及腔动脉瘘1例并文献复习

EJVES Extra Pub Date : 2013-03-01 DOI:10.1016/j.ejvsextra.2012.11.005

M. Ardelt, Y. Dittmar, H. Scheuerlein, U. Settmacher

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引用次数: 1

摘要

内脏动脉动脉瘤(VAAs)是一种极其罕见的血管病变，在常规尸检中的发病率为0.1-0.2%。胃十二指肠动脉瘤仅占1960年至1994年间报告的3000多例内脏动脉动脉瘤的1.5%。我们报告一位75岁的女性患者，以腹痛为唯一症状，发现一巨大的真胃十二指肠动脉动脉瘤并伴有动脉-腔静脉及动脉-门静脉瘘。我们讨论血管内治疗VAA并不总是可行和明智的，因此手术可能是不可避免的，尽管风险较高。

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A True Giant Aneurysm with a Diameter of 16.5 cm of the Gastroduodenal Artery with Arterio-portal and Arterio-caval Fistula – A Case Report and Literature Review

Introduction

Aneurysms of the visceral arteries (VAAs) are an extremely rare form of vascular pathologies with an incidence of 0.1–0.2% in routine autopsies. Aneurysms of the gastroduodenal artery account for only 1.5% of more than 3000 reported aneurysms of visceral arteries between 1960 and 1994.

Report

We report about a giant true aneurysm of the gastroduodenal artery with arterio-caval and arterio-portal fistula in a 75-year-old female patient with abdominal pain as her only symptom.

Discussion

We discuss that endovascular treatment of VAA is not always possible and sensible so that surgery may be unavoidable despite the higher risk.

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EJVES Extra

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