外伤性颞浅动脉假性动脉瘤

Pradeep Balineni, G. Muthukumaran, S. Zareena, Ruban Kumar, T. Hussain, Keerthana Shivaji
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引用次数: 0

摘要

假性动脉瘤是三层血管的缺损。颞浅动脉由于其病程更容易发生创伤,95%的假性动脉瘤是由创伤引起的。在此,我们报告一例外伤性颞浅动脉假性动脉瘤,患者为19岁。患者主诉左前额肿胀3天,3天前有板球外伤史。双相扫描显示颞浅动脉有假性动脉瘤。手术切除动脉瘤后结扎近端和远端蒂。数字减影血管造影是金标准的调查,但在大多数情况下,双重诊断就足够了,结扎近端和远端椎弓根后手术切除是治疗的选择。
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TRAUMATIC PSEUDOANEURYSM OF THE SUPERFICIAL TEMPORAL ARTERY
Pseudoaneurysm is deficit of all the 3 layers of the blood vessel. Superficial temporal artery due to its course is more prone for traumaand 95% of the pseudoaneurysm of the superficial artery is due to trauma. Here, we report the case of a traumatic pseudoaneurysm ofthe superficial temporal artery in a 19-year-old patient. The patient came with the complaints of swelling in the left side of the foreheadfor 3days and a history of trauma 3 days back by a cricket ball. A duplex scan showed a pseudoaneurysm of the superficial temporalartery. Surgical excision of the aneurysm was done after ligating proximal and distal pedicles. Digital subtraction angiography is thegold standard investigation, but duplex would be enough in most of the cases for diagnosingand surgical excision after ligating theproximal and distal pedicles is the treatment of choice.
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