一个罕见的血管现象的案例:上静脉卡瓦动脉瘤
Hugh Jacobs1, Jeremy Chan1, Saifullah Mohamed2
1Cardiac Surgery, Bristol Heart Institute, Bristol, GBR.
Cureus
|December 9, 2025
概括
上腔静脉动脉瘤 (SVC) 是罕见的. 用抗凝血和连续成像治疗的保守管理是稳定的SVC动脉瘤无症状患者的安全选择,强调个性化,基于风险的护理.
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:
- 上 vena cava (SVC) 动脉瘤是一种罕见的血管异常.
- 它们的自然史和最佳管理定义不佳,特别是在无症状个体中.
研究的目的:
- 为了呈现一个上 vena cava 动脉瘤的病例.
- 讨论在无症状患者中偶然发现的SVC动脉瘤的保守管理.
主要方法:
- 一名75岁的男性在CT上发现了一种偶然的状SVC动脉瘤.
- 保守的管理与抗凝血和串行CT后续.
主要成果:
- 由于没有症状,患者被保守地管理.
- 使用抗凝药来最大限度地降低血栓栓塞的风险.
- 连续CT扫描监测了动脉瘤的稳定性.
结论:
- 使用抗凝血和连续成像治疗的保守管理是稳定的SVC动脉瘤无症状患者的安全和适当的策略.
- 鉴于这些病变的罕见性和缺乏指导方针,基于风险的个性化管理至关重要.
- 对于偶然发现的SVC动脉瘤,长期监测很重要.
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