上肢远端外周动脉瘤压迫综合征。

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2024-01-01 DOI:10.4149/BLL_2024_64
Simon Smoter, Roman Slysko
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引用次数: 0

摘要

桡动脉真正的动脉瘤非常罕见。动脉瘤因退行性病变(可能是感染)而扩张,主要影响腹部和胸部主动脉、大脑动脉的颅内和颅外部分、腘动脉和内脏动脉。已发表的文献未涉及上肢或下肢动脉远端部分的动脉瘤。与动脉瘤改变动脉的典型症状(如破裂、血栓形成和栓塞)不同,我们更常遇到的是远端外周动脉瘤的血管压迫综合征。我们展示了一位患者的病例治疗,该患者的手腕阻力在 20 多年来不断增加。超声波检查发现桡动脉远端有一个纺锤形动脉瘤。在全身麻醉的情况下,我们进行了动脉瘤切除术,并使用同侧头静脉的间质进行了动脉重建。切除组织的组织学检查证实了血管壁三层的存在,确认了桡动脉动脉瘤的真实性。术后患者没有出现任何并发症,所有与动脉瘤相关的问题都得到了缓解(图 4,参考文献 23)。关键词:动脉瘤、桡动脉、手术重建。
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Compression syndrome of distal peripheral aneurysms of the upper limb.

True aneurysm of the radial artery is very rare. Aneurysmal expansion of arteries due to degenerative changes, possibly infections, primarily affects the abdominal and thoracic aorta, intra and extracranial sections of cerebral arteries, popliteal artery, and visceral arteries. Published literature does not address the aneurysm on the distal sections of the arteries of upper or lower limb. Unlike the classic symptoms of aneurysmally altered arteries such as rupture, thrombosis and embolization, we encounter more often vascular compression syndrome in distal peripheral aneurysms. We demonstrate the case management of a patient with over 20 years increasing wrist resistance. A fusiform aneurysm of the distal section of the radial artery was identified by sonography. Under general anesthesia, we performed aneurysm resection and artery reconstruction using an interpositum from the ipsilateral cephalic vein. The histological examination of the resected tissue confirmed the presence of all three layers of the vascular wall, confirming the true aneurysm of the radial artery. No complications developed in the patient in the postoperative period and all problems related to the aneurysm subsided (Fig. 4, Ref. 23). Keywords: aneurysm, arteria radialis, surgical reconstruction.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
185
审稿时长
3-8 weeks
期刊介绍: The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.
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