Mesh : Humans Aneurysm / surgery diagnostic imaging complications pathology Radial Artery / pathology Male Syndrome Middle Aged Upper Extremity / blood supply Female

来  源:   DOI:10.4149/BLL_2024_64

Abstract:
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.
摘要:
桡动脉真正的动脉瘤非常罕见。由于退行性变化引起的动脉瘤性动脉扩张,可能是感染,主要影响腹部和胸主动脉,脑动脉的颅内和颅外部分,pop动脉,还有内脏动脉.已发表的文献没有涉及上肢或下肢动脉远端部分的动脉瘤。与动脉瘤性动脉改变的典型症状如破裂不同,血栓形成和栓塞,我们在远端周围动脉瘤中更经常遇到血管压迫综合征。我们展示了超过20年腕关节阻力增加的患者的病例管理。通过超声检查确定了桡动脉远端部的梭形动脉瘤。在全身麻醉下,我们使用同侧头静脉的夹层进行动脉瘤切除和动脉重建.切除组织的组织学检查证实了所有三层血管壁的存在,确认桡动脉真正的动脉瘤.术后患者未出现并发症,与动脉瘤有关的所有问题均消失了(图4,参考。23).关键词:动脉瘤,桡动脉,外科重建。
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