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Zusammenfassung

Aneurysmen der Viszeralarterien sind selten. Bis 1950 lagen fast nur Fallberichte von perforierten Aneurysmen vor. Der häufig katastrophale Ausgang des Rupturereignisses bestimmte die Meinung über die Gefährlichkeit dieser Aneurysmen; zunehmend werden nun jedoch auch Aneurysmen im asymptomatischen Stadium als Zufallsbefund bei nichtinvasiven diagnostischen Verfahren entdeckt, und es hat sich gezeigt, daß die Rupturgefahr - je nach Lokalisation - offensichtlich unterschiedlich ist. Unterschiedlich ist aber auch die Ätiologie der Aneurysmen. Sie können auf dem Boden der fibromuskulären Dysplasie, hormoneller Einflüsse, mykotischer Embolisationen und lokaler Entzündungsprozesse, bei Periarteriitis nodosa, aber auch bei Arteriosklerose entstehen. Der ursächliche Entstehungsmechanismus ist jedoch immer noch nicht geklärt. Gemeinsam ist ihnen, daß sie meist keine oder nur sehr unbestimmte abdominelle Symptome bieten, bis sie plötzlich rupturieren können.

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© 1992 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

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Erasmi, H., Walter, M., Schmidt, R. (1992). Viszeralarterien-Aneurysmen. In: Endovaskuläre Operationen Viszerale und renale Rekonstruktionen Gefäßverletzungen. Steinkopff. https://doi.org/10.1007/978-3-642-72468-8_10

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  • DOI: https://doi.org/10.1007/978-3-642-72468-8_10

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