在突然心脏骤停后诊断出一例尾静脉动脉瘤病例
Daigo Shinoda1, Koichi Yuri1, Atsushi Miyagawa1
1Department of Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Annals of vascular diseases
|June 26, 2024
概括
一种罕见的脊柱静脉动脉瘤 (PVA) 通过肺栓塞 (PE) 引起心脏骤停 (CA). 在调查CA的原因时,建议对膝下PVA进行查.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 脊柱静脉动脉瘤 (PVA) 是一种不常见的血管形.
- 肺栓塞 (PVA) 是肺栓塞 (PE) 的已知原因之一.
- 很少报告导致心脏骤停 (CA) 的PVA.
研究的目的:
- 报告一种罕见的PVA病例导致CA.
- 要突出在CA患者中PVA的诊断考虑因素.
- 强调下肢静脉查的重要性.
主要方法:
- 一个病人的病例报告出现了突然心脏骤停.
- 诊断工作包括对比增强计算机断层扫描 (CECT).
- 手术干预:触动性动脉瘤切除和侧面静脉损伤.
主要成果:
- 一个尾静脉动脉瘤被确定为PE和随后的CA的原因.
- 患者经历了成功的手术修复.
- 在1年的随访期间,术后恢复无事件,没有并发症.
结论:
- 在对PE次要的CA的差异诊断中应考虑PVA.
- 在这种情况下,建议使用CECT对膝下PVA进行查.
- 手术治疗PVA是有效的预防复发和相关并发症.
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