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首页> 外文期刊>Vascular and endovascular surgery >Surgical treatment of celiac artery aneurysm: in situ aortoceliac artery reanastomosis: a case report.
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Surgical treatment of celiac artery aneurysm: in situ aortoceliac artery reanastomosis: a case report.

机译：腹腔动脉瘤的外科治疗：原位主动脉腔再狭窄：一例报告。

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摘要

The authors present a rare case of celiac artery aneurysm treated by aneurysmectomy and vascular reconstruction, and they review the past literature. A 57-year-old man was referred to their hospital with a complaint of epigastric discomfort. Abdominal echography, 3-dimensional computed tomography, and selective angiography showed a sole celiac artery aneurysm. At operation, the origin of the celiac artery and adjacent aorta was exposed through a midline transperitoneal approach alone. A 25 x 20 x 25 mm fusiform aneurysm of the celiac artery was found 5 mm distal from its origin. Aneurysmectomy and in situ aortoceliac artery reanastomosis was performed buttressed with a doughnut-shaped Teflon felt under the partial clamp of the abdominal aorta. The left gastric artery arising from the aneurysm was ligated. Postoperative angiography showed good patency of the splenic and common hepatic arteries. He had an uneventful postoperative course with no aggravation of the liver function and was discharged 11 daysafter operation. Pathological examination of the aneurysmal wall revealed medial degeneration with a tear of the internal elastic lamina and intimal edema. In situ aortoceliac artery reanastomosis after aneurysmectomy, as was done in this case, has not been previously documented in the past literature.
机译：作者介绍了通过动脉瘤切除术和血管重建术治疗的腹腔动脉瘤的罕见病例，并回顾了过去的文献。一名57岁的男子因上腹部不适而被送往医院。腹部回波描记术，三维计算机断层扫描和选择性血管造影显示了唯一的腹腔动脉瘤。手术中，仅通过中线经腹膜途径暴露腹腔动脉和邻近主动脉的起源。发现腹腔动脉的25 x 20 x 25 mm梭状动脉瘤距其起点5 mm。在腹主动脉部分夹住的情况下，用甜甜圈状的特氟隆毛毡支撑动脉瘤切除术和原位主动脉回肠再吻合。结扎由动脉瘤引起的左胃动脉。术后血管造影显示脾脏和肝总动脉通畅。术后病程平稳，无肝功能恶化，术后11天出院。动脉瘤壁的病理检查显示内侧变性，内部弹性薄片撕裂和内膜水肿。像在这种情况下所做的那样，在动脉瘤切除术后原位主动脉乳头再狭窄，以前在以前的文献中没有记载。

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