Bilateral idiopathic aneurysms of the lingual artery identified by three-dimensional computed tomography angiography
Bilateral idiopathic aneurysms of the lingual artery identified by three-dimensional computed tomography angiography
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DOI：
10.1007/s11282-016-0255-7
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发表时间：
2017-09-01
期刊：
影响因子：
2.2
通讯作者：
Tohnai, Iwai
中科院分区：
文献类型：
--
作者：
Iwai, Toshinori;Izumi, Toshiharu;Tohnai, Iwai
颈外动脉及其分支的动脉瘤是罕见的，通常发生在更浅的分支。舌动脉（LA）动脉瘤特别罕见，假性动脉瘤与创伤、感染和手术干预有关。英文文献中仅报告了少数特发性LA动脉瘤病例。LA动脉瘤如果不被识别和治疗可能是致命的。在这里，我们报告了一例通过三维（3D）计算机断层扫描血管造影（CTA）确定的左心房双侧特发性动脉瘤。一位80岁男性，患有右侧舌癌（T2N0M0）和左侧舌白斑，被转诊到我科治疗。他以前没有创伤、感染、手术或口腔颌面部动脉瘤的病史。CTA和3D重建显示左心房右侧和左侧动脉瘤，尺寸分别为2.4 x 2.3 x 2.1 mm和3.4 x 3.2 x 2.5 mm。患者在全身麻醉下接受了双侧部分舌切除术，未对动脉瘤进行干预，术后过程顺利。定期对未破裂的小动脉瘤进行放射学随访。
Aneurysms of the external carotid artery and its branches are rare, and usually occur in the more superficial branches. Lingual artery (LA) aneurysms are particularly rare, and pseudoaneurysms are associated with trauma, infection, and surgical intervention. Only a few cases of idiopathic LA aneurysms have been reported in the English literature. LA aneurysms can be fatal if they are not recognized and treated. Here, we report a case of bilateral idiopathic aneurysms of the LA identified by three-dimensional (3D) computed tomography angiography (CTA). An 80-year-old man with right tongue cancer (T2N0M0) and left tongue leukoplakia was referred to our department for treatment. He had no previous history of trauma, infection, surgery, or aneurysm in the oral and maxillofacial region. CTA with 3D reconstruction showed right and left aneurysms of the LA, with sizes of 2.4 x 2.3 x 2.1 mm and 3.4 x 3.2 x 2.5 mm, respectively. The patient underwent bilateral partial glossectomy under general anesthesia without intervention for the aneurysms, and the post-operative course was uneventful. A radiological follow-up has been performed regularly for the small unruptured aneurysms.