一个尸体解剖案例的Saphenous静脉移植断裂破裂
1From the Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska.
The American journal of forensic medicine and pathology
|February 27, 2024
概括
沙芬静脉移植动脉瘤是冠状动脉旁路移植后的罕见但严重的并发症. 本案例报告强调了长期监测患者的必要性,以防止移植裂变.
科学领域:
- 心血管外科心血管外科
- 尸检病理学 尸检病理学
- 医疗并发症 医疗并发症
背景情况:
- 沙芬静脉移植 (SVGs) 通常用于冠状动脉旁路移植 (CABG).
- SVG的动脉瘤是罕见的,但潜在的灾难性并发症.
- 破裂的SVG动脉瘤非常罕见,只有很少有记录的尸检病例.
研究的目的:
- 报告一个罕见的萨芬静脉移植动脉瘤和解剖发现的破裂病例.
- 强调长期监测具有CABG病史的患者的重要性.
- 为了突出延迟移植并发症的可能性,在最初的手术几年后.
主要方法:
- 一位已故女性患者的尸检检查.
- 审查与之前的CABG相关的有限的医疗记录.
- 病理分析以确定移植异常.
主要成果:
- 这位患者在死亡前20年接受了CABG.
- 尸体解剖显示,这是一根沙静脉移植动脉瘤,随后发生了破裂.
- 医疗记录有限,阻碍了对移植历史的全面了解.
结论:
- 这一案例强调了晚期发病的沙芬静脉移植动脉瘤和破裂的风险.
- 常规的长期监测对于检测CABG后的早期移植变化至关重要.
- 积极的监测可以防止灾难性事件,如移植破裂.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...


