破裂性右膝窩動脈瘤に対して外科的治療を行い救肢し得た1例
症例は74歳，男性。右下肢の疼痛，運動麻痺と感覚障害のため救急搬送された。低血圧を認め，脈拍は心房細動であった。造影CT検査で約56 mmの破裂性右膝窩動脈瘤を認めた。右下腿のコンパートメント症候群を認めたため，減張切開を行った。後方アプローチを用いて右膝窩動脈瘤を切除し，大伏在静脈を用いて血行再建を行った。血管エコーでグラフトの開存を確認できた。術後2年経過し，グラフトは開存し虚血症状を認めていない。...
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| Published in | 脈管学 Vol. 65; no. 2; pp. 33 - 37 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.02.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.24-00025 |
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| Abstract | 症例は74歳，男性。右下肢の疼痛，運動麻痺と感覚障害のため救急搬送された。低血圧を認め，脈拍は心房細動であった。造影CT検査で約56 mmの破裂性右膝窩動脈瘤を認めた。右下腿のコンパートメント症候群を認めたため，減張切開を行った。後方アプローチを用いて右膝窩動脈瘤を切除し，大伏在静脈を用いて血行再建を行った。血管エコーでグラフトの開存を確認できた。術後2年経過し，グラフトは開存し虚血症状を認めていない。 |
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| AbstractList | 症例は74歳，男性。右下肢の疼痛，運動麻痺と感覚障害のため救急搬送された。低血圧を認め，脈拍は心房細動であった。造影CT検査で約56 mmの破裂性右膝窩動脈瘤を認めた。右下腿のコンパートメント症候群を認めたため，減張切開を行った。後方アプローチを用いて右膝窩動脈瘤を切除し，大伏在静脈を用いて血行再建を行った。血管エコーでグラフトの開存を確認できた。術後2年経過し，グラフトは開存し虚血症状を認めていない。 |
| Author | 岡林, 均 工藤, 雅文 赤熊, 悠生 本田, 正典 坪田, 秀樹 |
| Author_xml | – sequence: 1 fullname: 工藤, 雅文 organization: 三菱京都病院心臓血管外科 – sequence: 1 fullname: 赤熊, 悠生 organization: 三菱京都病院心臓血管外科 – sequence: 1 fullname: 岡林, 均 organization: 三菱京都病院心臓血管外科 – sequence: 1 fullname: 本田, 正典 organization: 三菱京都病院心臓血管外科 – sequence: 1 fullname: 坪田, 秀樹 organization: 三菱京都病院心臓血管外科 |
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| References | 3) Trinidad-Hernandez M, Ricotta JJ 2nd, Gloviczki P, et al: Results of elective and emergency endovascular repairs of popliteal artery aneurysms. J Vasc Surg 2013; 57: 1299–1305 5) Huang Y, Gloviczki P, Noel AA, et al: Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: is exclusion with saphenous vein bypass still the gold standard? J Vasc Surg 2007; 45: 706–715.e1; discussion 13–5 9) Jung G, Leinweber ME, Karl T, et al: Real-world data of popliteal artery aneurysm treatment: analysis of the POPART registry. J Vasc Surg 2022; 75: 1707–17.e2 7) Hernando FJS, Martínez López I, Hernández Mateo MM, et al: Comparison of popliteal artery aneurysm therapies. J Vasc Surg 2015; 61: 655–661 1) Trickett JP, Scott RA, Tilney HS: Screening and management of asymptomatic popliteal aneurysms. J Med Screen 2002; 9: 92–93 4) Gifford RW Jr., Hines EA Jr., Janes JM: An analysis and follow-up study of one hundred popliteal aneurysms. Surgery 1953; 33: 284–293 6) Sie RB, Dawson I, van Baalen JM, et al: Ruptured popliteal artery aneurysm. An insidious complication. Eur J Vasc Endovasc Surg 1997; 13: 432–438 8) Beseth BD, Moore WS: The posterior approach for repair of popliteal artery aneurysms. J Vasc Surg 2006; 43: 940–945; discussion 4–5 2) Cervin A, Ravn H, Björck M: Ruptured popliteal artery aneurysm. Br J Surg 2018; 105: 1753–1758 |
| References_xml | – reference: 4) Gifford RW Jr., Hines EA Jr., Janes JM: An analysis and follow-up study of one hundred popliteal aneurysms. Surgery 1953; 33: 284–293 – reference: 1) Trickett JP, Scott RA, Tilney HS: Screening and management of asymptomatic popliteal aneurysms. J Med Screen 2002; 9: 92–93 – reference: 7) Hernando FJS, Martínez López I, Hernández Mateo MM, et al: Comparison of popliteal artery aneurysm therapies. J Vasc Surg 2015; 61: 655–661 – reference: 5) Huang Y, Gloviczki P, Noel AA, et al: Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: is exclusion with saphenous vein bypass still the gold standard? J Vasc Surg 2007; 45: 706–715.e1; discussion 13–5 – reference: 8) Beseth BD, Moore WS: The posterior approach for repair of popliteal artery aneurysms. J Vasc Surg 2006; 43: 940–945; discussion 4–5 – reference: 9) Jung G, Leinweber ME, Karl T, et al: Real-world data of popliteal artery aneurysm treatment: analysis of the POPART registry. J Vasc Surg 2022; 75: 1707–17.e2 – reference: 2) Cervin A, Ravn H, Björck M: Ruptured popliteal artery aneurysm. Br J Surg 2018; 105: 1753–1758 – reference: 3) Trinidad-Hernandez M, Ricotta JJ 2nd, Gloviczki P, et al: Results of elective and emergency endovascular repairs of popliteal artery aneurysms. J Vasc Surg 2013; 57: 1299–1305 – reference: 6) Sie RB, Dawson I, van Baalen JM, et al: Ruptured popliteal artery aneurysm. An insidious complication. Eur J Vasc Endovasc Surg 1997; 13: 432–438 |
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| Snippet | 症例は74歳，男性。右下肢の疼痛，運動麻痺と感覚障害のため救急搬送された。低血圧を認め，脈拍は心房細動であった。造影CT検査で約56 mmの破裂性右膝窩動脈瘤を認めた。右下... |
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| SubjectTerms | andexanet alfa fasciotomy ruptured popliteal artery aneurysm |
| Title | 破裂性右膝窩動脈瘤に対して外科的治療を行い救肢し得た1例 |
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