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一名7岁男孩的急性下肢缺血:一例罕见的腘动脉压迫综合征病例。

Acute lower extremity ischemia in a 7-year-old boy: an unusual case of popliteal entrapment syndrome.

作者信息

Bernheim Joshua W, Hanson Judith, Faries Peter, Kilaru Sashi, Winchester Pricella, Mousa Albeir, Trost David, Kent K Craig

机构信息

New York Presbyterian Hospital, Weill Cornell Medical College, 525 E. 68th Street, New York, NY 10025, USA.

出版信息

J Vasc Surg. 2004 Jun;39(6):1340-3. doi: 10.1016/j.jvs.2004.01.049.

DOI:10.1016/j.jvs.2004.01.049
PMID:15192578
Abstract

Popliteal artery entrapment syndrome is a rare cause of acute limb ischemia that most commonly is seen in young adults. The most significant complications associated with popliteal entrapment include aneurysm formation and acute thrombosis. This case presents the youngest patient ever reported with this syndrome and highlights the advantages of multimodal treatment including thrombolysis, popliteal aneurysm resection, and revascularization. Although a significant body of literature exists on popliteal entrapment syndrome in teenagers and young adults, it has not been reported previously in a patient younger than 11 years. Limb salvage was achieved in this patient with a combination of endovascular and surgical techniques.

摘要

腘动脉受压综合征是急性肢体缺血的罕见病因,最常见于年轻人。与腘动脉受压相关的最严重并发症包括动脉瘤形成和急性血栓形成。本病例介绍了有史以来报道的患有该综合征的最年轻患者,并强调了包括溶栓、腘动脉瘤切除和血运重建在内的多模式治疗的优势。尽管关于青少年和年轻人腘动脉受压综合征已有大量文献,但此前尚未有11岁以下患者的报道。该患者通过血管内和外科技术相结合实现了肢体挽救。

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引用本文的文献

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Young patients without prior vascular disease are at increased risk of limb loss and reintervention after acute limb ischemia.年轻患者无既往血管疾病史,其在发生急性肢体缺血后肢体丧失和再次干预的风险增加。
J Vasc Surg. 2022 Nov;76(5):1354-1363.e1. doi: 10.1016/j.jvs.2022.04.052. Epub 2022 Jun 13.
2
[Not Available].[无可用内容]。
Pan Afr Med J. 2015 Jul 2;21:171. doi: 10.11604/pamj.2015.21.171.6448. eCollection 2015.
3
Successful endovascular treatment of popliteal artery entrapment syndrome: a case report with 3-years follow-up.
腘动脉压迫综合征的成功血管内治疗:一例随访3年的病例报告
J Thromb Thrombolysis. 2017 Jul;44(1):112-117. doi: 10.1007/s11239-017-1505-1.
4
Popliteal entrapment syndrome. A systematic review of the literature and case presentation.腘动脉压迫综合征。文献系统综述及病例报告
Muscles Ligaments Tendons J. 2014 Jul 14;4(2):141-8. eCollection 2014 Apr.
5
An inconstant ligament in the popliteal region associated to the superior genicular arteries: surgical importance.腘窝区域与膝上动脉相关的一条变异韧带:手术重要性。
Surg Radiol Anat. 2006 Oct;28(5):457-61. doi: 10.1007/s00276-006-0137-5. Epub 2006 Aug 4.