摘要
一例无症状71岁女性患者因"体检发现内脏动脉瘤7 d"入院。胸腹主动脉CT血管造影提示肝总-脾动脉干真性动脉瘤合并肝总-脾-肠系膜上动脉共干畸形。患者肝总-脾动脉干真性动脉瘤瘤体大(直径约为28 mm)并紧贴肠系膜上动脉起始部,动脉瘤颈宽(直径为5.5～6.0 mm)且短(近端锚定区长度约为2.0 mm)。患者接受了肝总-脾动脉干血管内重建、动脉瘤弹簧圈栓塞、支架隔绝等血管内治疗后恢复良好。
An asymptomatic 71-year-old woman was admitted to the hospital due to aneurysm of visceral artery. CT angiography revealed that she possessed a hepatosplenic artery aneurysm with hepatosplenomesenteric trunk anomaly. The aneurysm was big with diameter about 28 mm, and is very adjacent to the superior mensenteric artery. The neck of the aneurysm is wide(the diameter of the neck was 5.5-6.0 mm) and short(length of the proximal landing zone was about 2.0 mm). The patient received endovascular reconstruction of the hepatosplenic artery and coil embolization of the aneurysm, and got satisfactory result.
作者
沈洋
张锐利
陈光
李飞
褚海伟
胡斌
赵文军
SHEN Yang;ZHANG Ruili;CHEN Guang;LI Fei;CHU Haiwei;HU Bin;ZHAO Wenjun(Department of Vascular Surgery,Taizhou Hospital of Zhejiang Province,Wenzhou Medical University,Taizhou 317000,Zhejiang Province,China)
出处
《浙江大学学报（医学版）》
CAS
CSCD
北大核心
2018年第6期601-605,共5页
Journal of Zhejiang University(Medical Sciences)
基金
台州市科技计划(1701KY01)
