Reconstructive surgery for segmental arterial mcdiolysis involving both the internal carotid artery and visceral arteries
Reconstructive surgery for segmental arterial mcdiolysis involving both the internal carotid artery and visceral arteries
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DOI：
10.1016/j.jvs.2005.11.033
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发表时间：
2006-03-01
影响因子：
4.3
通讯作者：
Kakefuda, T
中科院分区：
文献类型：
--
作者：
Obara, H;Matsumoto, K;Kakefuda, T
节段性动脉中溶(SAM)是一种罕见的、非动脉粥样硬化性、非炎症性动脉病变。患者男，52岁，右侧突然偏瘫，发现左侧颈内动脉动脉瘤，并伴有肝外、腹膜及肠系膜上动脉的多发性动脉瘤。动脉瘤采用自体静脉移植重建手术治疗。切除的动脉和动脉瘤标本的组织病理学分析显示与SA-M一致的特征。据我们所知，一个成功治疗的SA-M同时影响颈动脉和内脏动脉的病例以前还没有被描述过。
Segmental arterial mediolysis (SAM) is a rare, nonatherosclerotic, noninflammatory arteriopathy. A 52-year-old man with sudden hemiparesis of the right side was found to have an aneurysm of the left internal carotid artery and concomitant multiple aneurysms of the extrahepatic, celiac, and superior mesenteric arteries. Reconstructive operations using autologous vein graft were performed to treat the aneurysms. The histopathology analyses of resected arterial and aneurysmal specimens showed characteristics consistent with SA-M. To our knowledge, a successfully treated case of SA-M affecting both the carotid artery and visceral arteries has not previously been described.