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魚の骨の摂取による生命を脅かす大動脈副動脈瘤:症例報告
Salih Güler1,2, Salih Toy1, Fatih Ada1
1Department of Cardiovascular Surgery, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|February 17, 2026
まとめ
魚の骨が胸前大動脈副動脈瘤と大動脈食管フィスチュラ (AEF) を引き起こした希少なケースは,外体摂取の危険性を強調しています. 緊急の内血管修復とその後の除去は,命を救う介入でした.
科学分野:
- 心臓病学 心臓病学
- 胃腸内科 胃腸内科
- 血管外科 血管外科
背景:
- 外体摂取は一般的ですが,大動脈を伴う合併症はまれです.
- 大動脈の偽動脈瘤と大動脈食管フィストゥラ (AEF) は,生命を脅かす状態です.
研究 の 目的:
- 魚の骨の摂取によって引き起こされる胸前大動脈動脈症とAEFの希少な症例を報告する.
- このような希少な緊急事態の管理に適時介入が果たす重要な役割を強調する.
主な方法:
- 43歳の男性が,魚の骨を摂取した後に胸の痛みを呈した.
- 診断画像 (CT血管図) で,魚の骨と胸前大動脈の偽動脈瘤が確認されました.
- 治療には,新興胸内血管大動脈修復 (TEVAR),内視鏡による魚の骨摘出,および中腸排水が含まれていました.
主要な成果:
- 患者は発熱,低心率,炎症マーカーの上昇などの症状を示した.
- CTアニオグラフィーは,27x17mmの胸前大動脈の擬動動脈瘤に隣接する魚の骨を確認しました.
- 新興のTEVARは,血動力学的に不安定な患者の出血を成功裏に制御し,その後決定的な管理を行った.
結論:
- 魚の骨の摂取による胸動脈小動脈発作は珍しいが,致命的な可能性のある合併症です.
- TEVARは,大動脈の緊急事態で不安定な患者の出血制御のための重要な救命処置です.
- 外科的および内視鏡的アプローチを含む多学科的管理は,最終的な治療に不可欠です.
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