双边持久性坐骨动脉的病例报告:双边动脉瘤与右下肢血栓栓塞
Yi Mao1, Li Chen1, Zhi-Xing Liu1,2
1Department of Ultrasonography, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Medicine
|September 17, 2024
概括
持续性坐骨动脉 (PSA) 是一种罕见的先天性血管异常. 诊断需要对动脉解剖学,血液流动和临床相关性进行仔细的超声波评估,以准确识别.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 遗传异常是一种先天性异常.
背景情况:
- 持续性坐骨动脉 (PSA) 是一种罕见的先天性血管异常,在胎儿发育过程中坐骨动脉无法回归.
- PSA 持续作为内动脉的直接分支,与典型的回归到下关节动脉不同.
研究的目的:
- 报告患有双边持续性坐骨动脉和双边动脉瘤的患者急性血栓栓塞的病例.
- 突出准确诊断和治疗持续性坐骨动脉的重要性.
主要方法:
- 一名78岁的女性出现了下肢缺血的急性症状.
- 诊断包括双边持续性坐骨动脉和双边动脉瘤.
- 治疗包括超选择性栓塞,下肢动脉血栓溶解和长期抗血小板治疗.
主要成果:
- 成功治疗下肢血栓塞并缓解症状.
- 计算机断层扫描血管学证实了血管变异.
- 长期的抗血小板治疗是在栓塞后启动的.
结论:
- 持续性坐骨动脉的准确诊断需要对动脉解剖学,血液流动和周围结构进行仔细的超声波检查.
- 两侧的比较和与临床症状的相关性对于诊断这种罕见的异常是必不可少的.
- 在患有持续性坐骨动脉的患者中,迅速治疗诸如血栓栓塞等并发症至关重要.
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