A case of popliteal artery rupture in an 11-year-old patient with vascular Ehlers-Danlos syndrome.

1 例 11 岁血管性 Ehlers - Danlos 综合征患者的 the 动脉破裂。

• 发表时间: Jun 2023
• 来源期刊: J Vasc Surg Cases Innov Tech
• DOI: 10.1016/j.jvscit.2023.101129
• PMID: 36970138
• 文章类型: Case Reports
• 作者列表: Endo T,Takayama T,Suhara M,Mochizuki Y,Taniguchi R,Hoshina K

关键词: Popliteal artery; Pseudoaneurysm; Revascularization; Vascular Ehlers-Danlos syndrome

Abstract

We have described a case of multiple surgeries for a ruptured popliteal artery in an 11-year-old female patient with vascular Ehlers-Danlos syndrome. She underwent emergency hematoma evacuation and ruptured popliteal artery interposition with the great saphenous vein graft, which was notably fragile during surgery and had ruptured on the seventh postoperative day. We performed another emergency hematoma evacuation and popliteal artery interposition with an expanded polytetrafluoroethylene vascular graft. Despite the early occlusion of the expanded polytetrafluoroethylene graft, she recovered with mild intermittent claudication in the left lower extremity and was discharged on postoperative day 20 after the first surgery.

摘要

我们已经描述了一名11岁的血管性Ehlers-Danlos综合征女性患者的pop动脉破裂的多次手术病例。她接受了紧急血肿清除术，并在大隐静脉移植物中插入了破裂的the动脉，在手术过程中明显脆弱，并在术后第七天破裂。我们用膨胀的聚四氟乙烯血管移植物进行了另一次紧急血肿清除和the动脉介入。尽管膨胀聚四氟乙烯移植物早期闭塞，她因左下肢轻度间歇性跛行而康复，首次手术后第20天出院。