J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1665KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 101(11): 809-813, 2000

Case report

A SURGICAL CASE OF ABDOMINAL AORTIC ANEURYSM ACCOMPANIED BY HAMARTOMATOUS CHANGES IN THE VASUCULAR WALL

Department of Cardiovascular Surgery, Kashiwa Hospital Tokyo Jikei University School of Medicine, Kashiwa, Japan

Yoshihiro Ko, Shigeki Horikoshi, Asatoshi Mizuno, Isao Aoki, Shingo Taguchi

The current patient was a 22-years-old woman with dyspnea on exertion that had exacerbated over the past two to three years. Chest X-ray indicated pneumothorax in the right lung, and chest computed tomography showed diffuse microcysts in both lungs. The patient was diagnosed with lymphangiomyomatosis based on pleural biopsy by intrathoracic endscopy. Systemic testing revealed complications of tuberous sclerosis and abdominal aortic aneyrysm, and a prosthetic graft replacement was perfomed following pneumothorax treatment. Aortic wall tissue images showed hamartomatous changes in smooth muscle tissue, similar to the pulmonary lesion, and this was thought to have caused vascular fragility and aneurysmal change.

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