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腘静脉动脉瘤伴反复肺栓塞发作。病例报告及文献综述。

Popliteal venous aneurysm with repeated episodes of pulmonary embolism. Case report and literature review.

作者信息

Akagi D, Oshiro H, Yamamoto K, Kimura H, Taniwaka K, Shigematsu H, Nagawa H, Miyata T

机构信息

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Int Angiol. 2006 Dec;25(4):427-32.

Abstract

Popliteal venous aneurysm (PVA) is a rare, but a life-threatening, disease causing pulmonary embolism (PE). We experienced a case of primary PVA with repeated PE attacks without intraluminal thrombus. Surgical repair was safely performed with a temporary vena cava filter and an intraoperative external pneumatic compression device to the calf. During the perioperative period, pneumatic compression was continued until the patient returned to a normal ambulatory status. The patient has had no episode of PE for 24 months since the operation.

摘要

腘静脉瘤(PVA)是一种罕见但危及生命的疾病,可导致肺栓塞(PE)。我们遇到一例原发性PVA患者,反复发生PE发作但腔内无血栓形成。通过临时腔静脉滤器和术中对小腿使用外部气动压迫装置,安全地进行了手术修复。在围手术期,持续进行气动压迫,直至患者恢复正常行走状态。自手术以来,患者在24个月内未再发生PE发作。

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