关键词: bilateral iliac artery dissection coarctation of the aorta hypertension

Mesh : Humans Male Middle Aged Aortic Dissection / complications diagnosis surgery Endovascular Procedures / methods Aortic Coarctation / complications surgery diagnosis Iliac Artery Iliac Aneurysm / complications surgery diagnosis Intermittent Claudication / etiology diagnosis Treatment Outcome Quality of Life

来  源:   DOI:10.1111/jch.14847   PDF(Pubmed)

Abstract:
The coarctation of the aorta (CoA) combined with heart defects or cerebral artery aneurysms is more prevalent in clinical practice. However, cases of concurrent bilateral iliac artery dissection (IAD) are extremely rare and have not been reported. Here, we described a case with CoA combined with bilateral IAD. The patient, a 62-year-old male, presented with acute intermittent claudication accompanied by pain and aching in both lower limbs after walking. Following a thorough medical history inquiry and examination, the patient was diagnosed with acute bilateral IAD combined with CoA. The patient underwent endovascular treatment. Postoperatively, the aortic diameter recovered, and the bilateral IAD disappeared, yielding satisfactory therapeutic results. Conclusively, endovascular treatment of aortic coarctation combined with IAD is an effective therapeutic approach, enhancing patient survival and improving their quality of life.
摘要:
主动脉缩窄(CoA)合并心脏缺损或脑动脉瘤在临床实践中更为普遍。然而,并发双侧髂动脉夹层(IAD)的病例极为罕见,尚未报道。这里,我们描述了一例CoA联合双侧IAD的病例.病人,一个62岁的男性,行走后出现急性间歇性跛行,伴有双下肢疼痛和疼痛。经过彻底的病史调查和检查,患者被诊断为急性双侧IAD合并CoA。患者接受了血管内治疗。术后,主动脉直径恢复,双边内务部消失了,产生满意的治疗效果。最后,腔内治疗主动脉缩窄联合IAD是一种有效的治疗方法,提高患者的生存和生活质量。
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