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蓝脚综合症作为腹腔大动脉动脉瘤的罕见并发症:病例报告
Javad Salimi1, Ghazal Dahaghin2, Pejman Pourazari3
1Department of Vascular Surgery, Sina Hospital Tehran University of Medical Sciences Tehran Iran.
Clinical case reports
|December 22, 2025
概括
蓝脚综合征可能是腹腔大动脉动脉瘤 (AAA) 的不常见症状. 通过外周栓塞事件早期诊断AAA对于及时干预和预防破裂至关重要.
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:
- 腹腔大动脉动脉瘤 (AAA) 是一种严重的血管疾病,在破裂时死亡率高.
- AAA通常无症状,导致偶然发现或罕见的表现,如外周栓塞.
- 蓝脚综合征,其特点是有完整脉冲的疼痛的蓝色脚,是AAA的罕见表现.
研究的目的:
- 报告一个蓝脚综合征的病例,作为大型下AAA的主要表现.
- 突出诊断外围栓塞事件作为AAA潜在症状的重要性.
- 强调AAA的及时诊断和干预,以预防缺血并发症和破裂.
主要方法:
- 一个67岁的男性出现双边蓝脚综合征的病例报告.
- 诊断工作包括体检,实验室检查 (不包括血管炎/高凝血状态) 和CT血管造影.
- 治疗涉及成功的内血管大动脉动脉瘤修复 (EVAR) 与线圈栓塞.
主要成果:
- 脑电图血管学揭示了75毫米的内AAA与壁血栓作为栓塞的来源.
- 患者的蓝脚症状在EVAR后消失,肢体输液恢复.
- 在12个月的随访中,没有出现症状复发,缺血或内脏泄漏.
结论:
- 蓝脚综合征可能是腹腔大动脉动脉瘤的不常见但危急的症状.
- 周围栓塞事件的及时诊断需要成像来确定潜在的AAA.
- EVAR是一种安全有效的AAA治疗方法,特别是在伴随疾病的患者中,可以预防严重的缺血性结局.
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