肺栓塞在缓解性风脉肺突变中的肺栓塞
M Scott Binder1, Isabel E Binder2, William M Gay3
1Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, Roanoke, Virginia, USA.
JACC. Case reports
|January 31, 2025
概括
一名患有复杂先天性心脏病的患者在手术后发生了肺栓塞. 这一案例凸显了心脏缓性手术的潜在并发症.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 医疗成像医学成像
背景情况:
- 先天性心脏缺陷,如三形动脉缩和不连续的肺动脉,需要复杂的手术缓解.
- 息性心脏手术,如沃特斯顿手术和修改的中心分流,具有固有的风险.
- 亚急性肺栓塞是一种严重的并发症,可以在术后出现.
研究的目的:
- 在患有复杂先天性心脏病的患者中报告罕见的亚急性肺栓塞病例.
- 讨论缓解性心脏手术后肺栓塞的潜在阴性原因.
- 强调在有心脏手术史且出现呼吸道症状的患者中考虑血管并发症的重要性.
主要方法:
- 一个44岁的男性患者的病例报告.
- 审查患者的病史,包括三形缩和息性手术纠正.
- 计算机断层扫描血管造影 (CTA) 用于诊断肺栓塞.
主要成果:
- 患者出现了背部疼痛,发烧,呼吸困难和咳的症状,最初被认为是肺炎,但没有成功.
- CTA显示了一个亚急性肺栓塞.
- 人们怀疑血栓是阳性,可能与以前的手术干预有关.
结论:
- 亚急性肺栓塞是复杂的先天性心脏病的息性手术后的关键性,潜在的阴性并发症.
- 通过CTA等先进成像技术进行早期诊断对于具有相关病史且呈现心肺呼吸系统症状的患者至关重要.
- 这一案例强调了在手术缓解先天性心脏病患者的长期治疗中,需要对血管并发症保持警.
相关概念视频
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
167
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
167
Pulmonary Hypertension: Classification and Pathogenesis
147
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
147
Pneumothorax-II
118
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
118
Radiological Investigation III: Pulmonary Angiogram and PET Scan
82
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
82
Pneumothorax-I
168
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
168
Other Pulmonary Disorders
799
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
799


