创伤性上层中枢动脉伪动脉瘤由高输出动脉静脉囊复杂化
Yaqub Ahmedfiqi1, Michael Chaney2, Nicholas Stevens2
1Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI.
Journal of vascular surgery cases and innovative techniques
|January 26, 2026
概括
上层中枢动脉伪动脉瘤的罕见并发症,动脉静脉囊形成,可以导致心力衰竭. 开放式手术修复导致心脏立即稳定,并在创伤患者中取得了良好的结果.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 心脏病学 心脏病学
背景情况:
- 介肠类伪动脉瘤是一种罕见的血管病变,通常是由创伤,阳性损伤或炎症引起的.
- 动脉静脉形成是伪动脉瘤发育的一个极其罕见的并发症.
研究的目的:
- 报告一种罕见的上层中枢动脉伪动脉瘤病例,并形成动脉静脉.
- 为了突出这种复杂的血管损伤的临床表现和成功管理.
主要方法:
- 案例介绍:一名57岁的男性因机动车碰撞多次受伤.
- 诊断上层中枢动脉伪动脉瘤与动脉静脉.
- 血管损伤的开放性手术修复.
主要成果:
- 患者出现了持续的心房动,快速心室反应,高输出心力衰竭和血液动力学不稳定.
- 开放式修复导致心脏立即稳定.
- 患者经历了整体有利的结果.
结论:
- 由动脉静脉形成而复杂的上层介质动脉伪动脉瘤可以出现严重的心脏表现.
- 在这种情况下,迅速的手术干预对于血液动力学稳定性和良好的结果至关重要.
- 这一案例强调了在创伤患者中考虑罕见的血管并发症的重要性.
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