|
|
真性孤立股浅动脉瘤伪装成动脉栓塞——1例个案报道
|
Abstract:
真正孤立的股浅动脉瘤(superficial femoral artery aneurysms, SFAAs)是罕见的。在本文中，我们报告一例73岁男性的SFAAs伪装成动脉栓塞的病例，患者瘤体位置在股浅动脉的远端三分之一，其内充满附壁血栓，超声往往很难识别，过往体检中并未发现SFAAs，患者因“左下肢疼痛1周，加重1天”来我院就诊，住院前行超声检查也未发现动脉瘤的存在，以动脉栓塞收入我科，住院后行CTA检查才得以明确诊断。目前尽管诊断技术有所改进，但SFAAS延迟破裂或漏诊误诊的风险仍然存在。
Truly isolated superficial femoral artery aneurysms (SFAAs) are rare. In this article, we report a case of a 73-year-old man with SFAAs masquerading as arterial embolism. The patient’s aneurysm was located in the distal third of the superficial femoral artery and was filled with wall thrombus, which is often difficult to identify on ultrasound. The patient came to our hospital with “left lower limb pain for 1 week, aggravated for 1 day”, and the aneurysm was not detected by ultrasound ex-amination before hospitalization. The risk of delayed rupture or missed misdiagnosis of SFAAS still exists despite the improvement of diagnostic techniques.
| [1] | Traina, L., Zenunaj, G., Bisogno, F., et al. (2021) Incidence, Diagnosis, Treatment, and Outcomes of True Superficial Artery Aneurysms. Annals of Vascular Surgery, 76, 565-572. |
| [2] | Leon, L.R., Taylor, Z., Psalms, S.B., et al. (2008) Degenerative Aneurysms of the Superficial Femoral Artery. European Journal of Vascular and Endovascular Surgery, 35, 332-340. https://doi.org/10.1016/j.ejvs.2007.09.018 |
| [3] | Raherinantenaina, F., Andrianandraina, M.C.G., Harioly, M.O.J., et al. (2018) Dramatic Evolution of a Bilateral Femoral Artery Aneurysm in a 16-Year-Old Girl. An-nales de Cardiologie et d’Angéiologie, 67, 101-105.
https://doi.org/10.1016/j.ancard.2018.01.005 |
| [4] | Varetto, G., Castagno, C., Ripepi, M., et al. (2014) Rupture of Giant Superficial Femoral Artery Aneurysm in a Leukemic Patient Submitted to Chemotherapy. The Korean Journal of Thoracic and Cardiovascular Surgery, 47, 413-415.
https://doi.org/10.5090/kjtcs.2014.47.4.413 |
| [5] | Ferrero, E., Ferri, M., Viazzo, A., et al. (2011) Parkes-Weber Syndrome and Giant Superficial Femoral Artery Aneurysm. Treatment by Endovascular Therapy and Follow-Up of 8 Years. Annals of Vascular Surgery, 25, 384.E9-384.E15.
https://doi.org/10.1016/j.avsg.2010.09.009 |
| [6] | Jarrett, F., Makaroun, M.S., Rhee, R.Y., et al. (2002) Superficial Femoral Artery Aneurysms: An Unusual Entity? Journal of Vascular Surgery, 36, 571-574. https://doi.org/10.1067/mva.2002.125841 |
| [7] | Bj？rck, M., Earnshaw, J.J., Acosta, S., et al. (2020) Editor’s Choice—European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia. European Journal of Vascular and Endovascular Surgery, 59, 173-218. https://doi.org/10.1016/j.ejvs.2019.09.006 |
| [8] | Mufty, H., Daenens, K., Houthoofd, S., et al. (2018) Endovascular Treatment of Isolated Degenerative Superficial Femoral Artery Aneurysm. Annals of Vascular Surgery, 49, 311.E11-311.E14. https://doi.org/10.1016/j.avsg.2017.11.038 |
| [9] | Lyazidi, Y., Abissegue, Y., Chtata, H., et al. (2016) Endovascular Treatment of 2 True Degenerative Aneurysms of Superficial Femoral Arteries. Annals of Vascular Surgery, 30, 307.E1-307.E5.
https://doi.org/10.1016/j.avsg.2015.05.041 |
| [10] | Troitski？, A.V., Bobrovskaia, A.N., Orekhov, P.I., et al. (2005) Successful Percutaneous Endovascular Treatment of a Ruptured Femoral Aneurysm. Angiologiya i Sosudistaya Khi-rurgiya, 11, 53-57. |
| [11] | Peralta, S., Calderin, J. and Toufic, K. (2010) Percutaneous Repair of a Distal SFA Aneurysm. Endovascular Today, 140-142. |
| [12] | Pecoraro, F., Sabatino, E.R., Dinoto, E., et al. (2015) Late Complication after Su-perficial Femoral Artery (SFA) Aneurysm: Stent-Graft Expulsion outside the Skin. CardioVascular and Interventional Radiology, 38, 1299-1302.
https://doi.org/10.1007/s00270-014-0970-6 |
| [13] | Mercado-Alamo, A., Zaitoun, A., Neupane, S., et al. (2018) Su-perficial Femoral Artery Aneurysm as a Cause of Deep Vein Thrombosis Treated with a Covered Stent. Journal of Inva-sive Cardiology, 30, E124-E125. |
| [14] | Kerselaers, L., Gallala, S., Aerden, D., et al. (2019) Multiple Simple Renal Cysts and Sequential, Rapid Progressive, Aneurysmatic Aortoiliac and Femoral Artery Disease: Case Report and Review of the Literature. Annals of Vascular Surgery, 61, 466.E13-466.E17. https://doi.org/10.1016/j.avsg.2019.04.027 |
| [15] | Ono, S., Shimogawara, T. and Hasegawa, H. (2020) Endovascu-larly Treated Superficial Femoral Artery Aneurysm Rupture Secondary to Campylobacter fetus Bacteremia: A Case Re-port. Annals of Vascular Surgery, 72, 664.E1-664.E6. |
| [16] | Sallustro, M., Faggioli, G., Ancetti, S., et al. (2020) Endo-vascular Treatment of a Ruptured Superficial Femoral Artery Aneurysm in Behcet’s Disease: Case Report and Literature Review. Annals of Vascular Surgery, 65, 287.E1-287.E6.
https://doi.org/10.1016/j.avsg.2019.11.023 |
| [17] | Kasirajan, K., Marek, J.M. and Langsfeld, M. (2001) Behcet’s Disease: Endovascular Management of a Ruptured Peripheral Arterial Aneurysm. Journal of Vascular Surgery, 34, 1127-1129. https://doi.org/10.1067/mva.2001.118585 |
| [18] | Chung, S., Jang, J.Y. and Kim, D.K. (2020) Rare Case of Isolated True Aneurysm in the Superficial Femoral Artery Treated with Endovascular Intervention: A Case Report. European Heart Journal: Case Reports, 4, 1-4.
https://doi.org/10.1093/ehjcr/ytz243 |
| [19] | Perini, P., Jean-Baptiste, E., Vezzosi, M., et al. (2014) Surgical Man-agement of Isolated Superficial Femoral Artery Degenerative Aneurysms. Journal of Vascular Surgery, 59, 152-158. https://doi.org/10.1016/j.jvs.2013.07.011 |
