腰骶部椎间盘手术后的主动脉-腔静脉瘘
Aorto-caval fistula after lumbo-sacral disk surgery.
作者信息
van Berge Henegouwen D P, Koopman M M, van der Werken C
机构信息
Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
出版信息
Neth J Surg. 1991 Oct;43(5):175-7.
A patient with an aorta-caval fistula after intervertebral disk surgery is presented. Deterioration of the condition of the patient, mainly due to a progressive congestive heart failure, was caused by a large aorto-caval fistula; emergency repair of the lesion led to complete recovery. Because of delay in diagnosis, this insidious complication generally causes serious cardiopulmonary disturbances with a high morbidity and a significant mortality. The surgical treatment consists of the reconstruction of the greater veins and arteries involved.
本文介绍了一名椎间盘手术后出现主动脉-腔静脉瘘的患者。患者病情恶化主要是由于进展性充血性心力衰竭，这是由一个大的主动脉-腔静脉瘘引起的；对该病变进行紧急修复后患者完全康复。由于诊断延误，这种隐匿性并发症通常会导致严重的心肺功能障碍，发病率高且死亡率显著。手术治疗包括重建受累的大静脉和动脉。
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