Hirano Yasumitsu, Kasashima Fuminori, Abe Yoshinobu, Matsumoto Yasushi, Endo Masamitsu, Sasaki Hisao, Takita Yoshio
Department of Cardiovascular Surgery, National Kanazawa Hospital, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.
Surg Today. 2002;32(7):635-7. doi: 10.1007/s005950200115.
Internal jugular venous thrombosis is an unusual entity with the potential to develop into pulmonary embolism (PE). A 28-year-old woman at 15 weeks gestational age of pregnancy was referred to our hospital for pain and swelling on the left side of her neck. Magnetic resonance imaging and computed tomography of her neck revealed an occlusion of the left internal jugular vein. Left internal jugular venous thrombosis was thus diagnosed. She was successfully treated by placement of a Greenfield filter in the superior vena cava and delivered a full-term healthy infant. This procedure could be an effective and safe method to prevent PE in patients of internal jugular venous thrombosis in whom anticoagulation therapy has either failed or is contraindicated.
颈内静脉血栓形成是一种不常见的疾病,有可能发展为肺栓塞(PE)。一名妊娠15周的28岁女性因颈部左侧疼痛和肿胀被转诊至我院。其颈部的磁共振成像和计算机断层扫描显示左颈内静脉闭塞。由此诊断为左颈内静脉血栓形成。通过在上腔静脉放置格林菲尔德滤器,她得到了成功治疗,并分娩了一名足月健康婴儿。对于抗凝治疗失败或有禁忌证的颈内静脉血栓形成患者,该手术可能是预防肺栓塞的一种有效且安全的方法。