在高性能运动员患有动脉胸部出口综合征的上肢慢性缺血的分阶段方法
Caroline E Minnick1, Lindsay Lynch1, Kevin Chang1
1Department of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC.
概括
动脉胸部出口综合征是一种罕见的疾病,导致关节底动脉的压缩,可以导致严重的四肢缺血. 这一案例突显了年轻运动员的成功手术管理,恢复了动脉健康和功能.
科学领域:
- 血管外科 血管外科
- 胸腔出口综合征 (TORAS) 是一种疾病.
- 动脉的重建 动脉的重建
背景情况:
- 动脉胸部出口综合征 (ATOS) 是一种罕见的疾病,涉及关节下动脉的压缩.
- 它可以导致严重的并发症,如闭塞,动脉瘤和远端栓塞.
- 双边宫肋骨是已知的,虽然不常见的ATOS的原因.
研究的目的:
- 介绍一个大学运动员患有ATOS和慢性肢体威胁性缺血的病例.
- 描述这种罕见疾病的诊断挑战和成功的手术管理.
- 突出及时诊断和干预对于维护肢体活力和运动功能的重要性.
主要方法:
- 一个21岁的女大学排球运动员的案例介绍.
- 最初误诊为雷诺现象,随后是渐进性的缺血症状.
- 阶段性手术治疗:胸部出口减压和关至放射性动脉绕道.
主要成果:
- 成功的手术治疗双边宫肋诱导的ATOS.
- 恢复动脉流动和重塑关节底动脉.
- 在持续的移植通透性和症状解决的情况下,返回大学田径运动.
结论:
- 胸腔出口减压和旁路移植是治疗年轻运动员ATOS的有效方法.
- 早期诊断和手术干预对于预防肢体威胁性缺血至关重要.
- 这一案例证明了ATOS治疗后的成功管理和恢复高水平活动.
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