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因海姆立克急救法导致近端主动脉覆膜支架移位并伴有I型内漏。

Proximal aortic stent-graft displacement with type I endoleak due to Heimlich maneuver.

作者信息

Lin Peter H, Bush Ruth L, Lumsden Alan B

机构信息

Section of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston VAMC (112), 2002 Holcombe Boulevard, Houston, TX 77030, USA.

出版信息

J Vasc Surg. 2003 Aug;38(2):380-2. doi: 10.1016/s0741-5214(03)00294-5.

Abstract

The Heimlich maneuver has saved countless lives by relieving foreign body obstruction from the respiratory tract. Complications related to this life-saving technique, particularly involving the abdominal aorta, are extremely rare. We report the case of a patient who underwent successful endovascular abdominal aortic aneurysm (AAA) repair, with AAA reduction at postoperative surveillance. Endograft displacement after performance of the Heimlich maneuver resulted in a proximal type I endoleak. This case underscores both the potential for aortic trauma from the Heimlich maneuver and the risk for clinical failure as a result of abdominal compression after successful endovascular AAA repair.

摘要

海姆立克急救法通过解除呼吸道异物梗阻挽救了无数生命。与这种救生技术相关的并发症,尤其是涉及腹主动脉的并发症极为罕见。我们报告了一例患者,该患者成功接受了血管内腹主动脉瘤(AAA)修复术,术后监测显示AAA缩小。在实施海姆立克急救法后,血管内移植物移位导致I型近端内漏。该病例凸显了海姆立克急救法导致主动脉创伤的可能性,以及成功进行血管内AAA修复术后腹部受压导致临床治疗失败的风险。

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