一例胫前动脉巨大假性动脉瘤病例报告

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我血管外科治疗的动脉假性动脉瘤大多由导管相关医疗操作引起，位于腹股沟区。临床体征结合近期经皮介入治疗史，可确保快速诊治。然而，任何动脉受到损伤后，都可能发展为假性动脉瘤。由于这种损伤较为罕见，尚无统一的治疗策略。本研究概述了既往研究所述方法及临床应用。本文分析了一例年轻男性病例，遭遇意外事故时未发现损伤，数月后出现假性动脉瘤，部位和大小异常。经计算机断层扫描血管造影术进行超声诊断，行开放性手术修复，疗效良好。

结论：这一病例提醒我们，看似轻微的意外事故也能引起动脉损伤，患者应当仔细检查，以免延误诊治。

作者简介

Anna Dorn

Evangelical Hospital Bergisch Gladbach

编辑信件的主要联系方式.
Email: as.dorn@yahoo.de
ORCID iD: 0000-0003-4822-5041

Physician of the Clinic for Vascular and Endovascular Surgery

德国, Bergisch Gladbach

Peter Galkin

Evangelical Hospital Bergisch Gladbach

Email: p.galkin@uk-koeln.de
ORCID iD: 0000-0003-2666-5337

MD, Dr.Sci.(Med.), Senior Physician, Specialist in Vascular Surgery, Clinic for Vascular Surgery, Department of Vascular and Endovascular Surgery

德国, Bergisch Gladbach

Egan Kalmykov

Evangelical Hospital Bergisch Gladbach

Email: info@helios-international.com
ORCID iD: 0000-0001-6784-2243
Researcher ID: K-9827-2013

MD, Dr.Sci.(Med.), Department of Vascular and Endovascular Surgery

德国, Bergisch Gladbach

Payman Majd

Evangelical Hospital Bergisch Gladbach

Email: mir.majd@uk-koeln.de
ORCID iD: 0000-0002-5835-8318

Chief physician, Specialist in surgery, Specialist in vascular surgery, Endovascular surgeon, Clinic for Vascular Surgery, Department of Vascular and Endovascular Surgery

德国, Bergisch Gladbach

参考

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  12. Vasilakis A, Jackson RJ, Rozar GE, et al. Revascularization of a symptomatic pseudoaneurysm of the anterior tibial artery. The American Surgeon. 1990;56(4):209-13.
  13. Bartoli MA, Lerussi GB, Gulino R, et al. False aneurysm at the origin of the anterior tibial artery after opening wedge osteotomy. Vascular. 2010;18(1):45-8. doi: 10.2310/6670.2009.00042

补充文件

附件文件
动作
1. JATS XML
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2. 图1小腿MRI（轴向，T2），位于膝关节间隙远端，距离15厘米（图像由Radiologie 360°提供）：（1）胫骨，（2）腓骨，（*）“肿瘤”。

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3. 图2 左小腿计算机断层扫描血管造影: （A）沿胫前动脉曲面重建，（B）三维重建：假性动脉瘤造成动脉移位，深浅静脉强化（图片由Radiologie 360°提供）。

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4. 图3术后16个月静脉移植物双功能超声检查

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