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首页> 外文期刊>Vascular and endovascular surgery >Endovascular Repair of Ruptured Hepatic Artery Pseudoaneurysm Secondary to Fibromuscular Dysplasia
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Endovascular Repair of Ruptured Hepatic Artery Pseudoaneurysm Secondary to Fibromuscular Dysplasia

机译：破裂肝动脉假瘤患者的血管内修复辅助纤维瘤发育不良

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摘要

We describe successful endovascular treatment of a patient with fibromuscular dysplasia of the celiac axis leading to development of a common hepatic artery pseudoaneurysm with contained rupture. An 81-year-old woman was transferred to our quaternary care center with concern for a hepatic artery rupture. Further imaging demonstrated a common hepatic artery pseudoaneurysm with surrounding hematoma as well as multifocal areas of narrowing and dilatation in the celiac trunk consistent with fibromuscular dysplasia. A similar pattern was subsequently identified in the bilateral renal and carotid arteries. The patient underwent successful endovascular exclusion of the pseudoaneurysm with a balloon-expandable covered stent and was discharged home without incident. Fibromuscular dysplasia is a nonatherosclerotic arteriopathy that can lead to stenosis, occlusion, dissection, and aneurysm formation. While it primarily affects the carotid and renal arteries, there are rare case reports involving the mesenteric vasculature. Endovascular therapy appears to be a feasible treatment option for the complicated sequelae of this condition in the rare case of mesenteric arterial involvement.
机译：我们描述了腹腔轴的纤维肌纤维状发育不良患者的成功血管内治疗，导致含有破裂的常见肝动脉伪肿瘤的发展。一个81岁的女子被关注肝动脉破裂关注我们的第四纪护理中心。进一步的成像证明了一种具有周围血肿的常见的肝动脉假肿瘤，以及在纤维肌瘤性发育不良的腹腔内缩小和膨胀的多焦点区域。随后在双侧肾和颈动脉中鉴定了类似的模式。患者接受了成功的血管内排除了伪血管瘤，气球可扩展支架，并在没有事件的情况下被排放。纤维肌瘤性发育不良是一种非治疗动脉病，可导致狭窄，闭塞，解剖和动脉瘤形成。虽然它主要影响颈动脉和肾动脉，但有罕见的案例报告涉及肠系膜血管系统。血管内疗法似乎是这种条件的复杂后遗症在罕见的肠系膜动脉受累中的可行治疗选择。

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