在TAVR前成像过程中偶然发现的盆腔外阴:对手术规划的影响
Prem Patel1, Irina Radu2, Nikolaos Kakouros2
1Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.
The American journal of case reports
|June 30, 2025
概括
一个脏形,脏外皮病,偶然地在接受主动脉置换评估的患者中发现. 识别这种解剖变异对于安全的血管接入和手术规划至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 心脏病学 心脏病学
背景情况:
- 外 (RE) 是一种先天性疾病,脏不在它们通常的解剖位置.
- 虽然经常无症状,但RE可能会导致并发症,并且需要在手术规划中考虑.
- 解剖学变异对于安全的血管接入至关重要,特别是在复杂的程序中.
研究的目的:
- 在前导管大动脉置换 (TAVR) 评估期间报告盆腔外宫的偶然发现.
- 突出识别解剖变异对于手术规划和避免并发症的重要性.
- 讨论多重动脉与外皮病之间的关联.
主要方法:
- 一名68岁的男性患者被评估为严重的症状性大动脉狭窄症.
- 计算机断层扫描 (CT) 血管造影用于手术前的成像.
- 对CT扫描的分析显示左侧的盆腔脏具有双动脉供应.
主要成果:
- 在TAVR前的评估中偶然发现了左下盆外宫.
- 宫外脏表现出双重动脉供应,其中有一个主要动脉和一个辅助动脉.
- 患者的功能正常,尿路没有症状,不需要任何干预.
结论:
- 识别外皮和相关的血管异常对于优化复杂的血管程序至关重要.
- 术前成像对于预防与解剖变异相关的潜在并发症至关重要.
- 需要进一步的研究来探索多重动脉和外皮病之间的相关性.
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