A Case of Successful Hybrid Treatment of Dual Arterial Bypass Using Indocyanine Green Fluorescence Angiography and Endovascular Treatment for Recurrent Superior Mesenteric Artery Aneurysm.
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引用次数: 0
Abstract
A 54-year-old woman with a mycotic superior mesenteric artery (SMA) aneurysm underwent emergent aneurysm resection with a great saphenous vein bypass. Follow-up computed tomography revealed a rapidly growing recurrent SMA aneurysm at the stump. Under the diagnosis of recurrent pseudoaneurysm of SMA with a fragile stump, we performed an open dual arterial bypass using indocyanine green fluorescence angiography and endovascular coil embolization. Subsequently, the patient's recurrent mycotic SMA aneurysm was successfully managed without mesenteric ischemic complications. This method may help prevent fatal mesenteric ischemia during SMA aneurysm surgery.
一名患有霉菌性肠系膜上动脉（SMA）动脉瘤的 54 岁女性接受了急诊动脉瘤切除术和大隐静脉搭桥术。随访计算机断层扫描显示，残端有一个迅速生长的复发性 SMA 动脉瘤。在SMA假性动脉瘤复发且残端脆弱的诊断下，我们使用吲哚菁绿荧光血管造影术和血管内线圈栓塞术为患者实施了开放式双动脉搭桥术。随后，患者的复发性霉菌性 SMA 动脉瘤得到了成功控制，未出现肠系膜缺血并发症。这种方法有助于防止在 SMA 动脉瘤手术中出现致命的肠系膜缺血。
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