梅-瑟纳综合征:一个广泛的未引起的左下肢深静脉血栓塞 (DVT) 的病例
Akintayo Akinleye1, Patrick Kwaah1, Josephine Poku-Adusei1
1Department of Internal Medicine, Yale School of Medicine, Waterbury, CT, USA.
Radiology case reports
|December 4, 2023
概括
梅-瑟纳综合征是一种静脉压缩状况,可能会导致腿部血块的复发. 这一案例突出显示了一名患有梅·瑟纳综合征和深静脉血栓症的年轻人的成功内血管治疗和抗凝药.
科学领域:
- 血管外科 血管外科
- 静脉血栓塞栓症是一种静脉血栓塞栓症.
- 解剖学变种 解剖学变种
背景情况:
- 梅-瑟纳综合征 (MTS) 涉及右动脉对左常静脉进行压缩.
- 这种解剖变体可以导致左下肢深静脉血栓症 (DVT).
- 经常发生的,未被挑起的DVT需要对MTS等潜在原因进行调查.
研究的目的:
- 报告一个年轻男性的复发性未引起的左下肢DVT病例.
- 突出梅-瑟纳综合征作为潜在原因的作用.
- 为了证明内血管干预和抗凝剂在治疗这种病例中的有效性.
主要方法:
- 一个年轻的男性患者的病例报告.
- 对复发性深静脉血栓的诊断工作.
- 对于梅-瑟纳综合征的内血管干预.
- 干预后使用口服抗凝剂进行管理.
主要成果:
- 患者出现了复发的,未引起的左下肢DVT.
- 梅-瑟纳综合征被确定为潜在原因.
- 进行了成功的内血管治疗.
- 患者接受了口服抗凝药,症状消失后退院.
结论:
- 梅-瑟纳综合征是年轻人复发左下肢DVT的重要原因.
- 内血管干预是MTS相关的DVT的有效治疗选择.
- 长期的口服抗凝药对于这些患者的干预后管理至关重要.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
346
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
346
Disorders of Hemostasis
926
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
926
Veins of Lower Limbs
896
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
896
Esophageal Varices-I: Introduction
150
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
150
Veins of Thorax
847
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
847
Cardiac Catheterization III: Left Heart Catheterization
15
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
15


