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首页> 外文期刊>Journal of International Medical Research >The role of the pedicle omental flap in ruptured abdominal aortic aneurysm: a case report and literature review
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The role of the pedicle omental flap in ruptured abdominal aortic aneurysm: a case report and literature review

机译:椎弓根题皮瓣在破裂腹主动脉瘤中的作用:案例报告和文献综述

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A ruptured infrarenal abdominal aortic aneurysm (rAAA) is associated with an in-hospital mortality rate of 40% and an overall mortality rate of 60–80%. Open surgical repair for rAAA remains the principal method of treatment when endovascular repair is not available. Graft infection occurs in 1–4% of patients at 5 years, with a high incidence following emergency treatment. Other graft-related complications include pseudoaneurysm, graft occlusion and aorto-enteric fistula. This case report describes a 66-year-old male patient that was admitted to hospital complaining of intense abdominal pain, low blood pressure and tachycardia. He was diagnosed with a rAAA and treated using segmental resection of the abdominal aorta followed by reconstruction with a synthetic Dacron prosthesis. A pedicle omental flap was wrapped around the prosthetic graft and it was also used to fill the retroperitoneal cavity in order to reduce the risk of graft-related complications. Computed tomography angiography after 6 months showed good integration of the aortic prosthetic graft and the viability of the omental flap. In our opinion, vascular surgeons should consider the pedicle omental flap when they perform open surgical repair for rAAA in order to reduce the incidence of graft-related complications.
机译:破裂的肾上腺腹主动脉瘤(RAAA)与住院中的死亡率为40%,总死亡率为60-80%。 raaa的开放手术修复仍然是当血管内修复不可用时的主要方法。接枝感染发生在5年的1-4%的患者中,紧急治疗后发病率高。其他与移植相关的并发症包括伪肿瘤,移植闭塞和主动脉肠瘘。本案例报告描述了一名66岁的男性患者,被录取为抱怨强烈的腹痛,低血压和心动过速。他被诊断出患有RAAA,并使用腹部主动脉进行腹部切除治疗,然后用合成码克假体重建。在假体移植物周围缠绕椎弓根题皮,也用于填充腹膜腔,以降低与移植物相关的并发症的风险。计算断层造影血管造影6个月后显示出主动脉假体移植物的良好整合和题瓣的可行性。在我们看来,当血管外科医生应考虑椎弓根题皮皮,当他们对RAAA进行开放手术修复时,以减少与移植相关的并发症的发生率。

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