一名韦格纳肉芽肿患者的上肢缺血。
Upper limb ischemia in a patient with Wegener's granulomatosis.
作者信息
Maia Miguel, Brandão Pedro, Monteiro Pedro, Barreto Paulo, Brandão Daniel, Ferreira Joana, Braga Sandrina, Vaz Guedes
机构信息
Departamento de Angiologia e Cirurgia Vascular, Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal.
出版信息
Interact Cardiovasc Thorac Surg. 2008 Dec;7(6):1137-40. doi: 10.1510/icvts.2008.183681. Epub 2008 Sep 16.
OBJECTIVES
We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb.
CASE
A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed.
RESULTS
After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions.
CONCLUSION
Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.
目的
我们报告一例伴有左上肢缺血的小血管血管炎临床病例。
病例
一名被诊断为韦格纳肉芽肿且左腋窝和肱动脉受累的患者。采用左大隐静脉反转进行了左腋窝 - 桡动脉搭桥术。
结果
经过36个月的随访，患者无症状，营养性病变完全愈合。
结论
经典的韦格纳肉芽肿是一种主要累及上呼吸道和/或下呼吸道及肾脏的血管炎形式。临床症状繁多，诊断困难。文献中仅有少数关于韦格纳肉芽肿患者肢体缺血的临床病例。这是一例韦格纳肉芽肿患者因中大型动脉受累导致上肢缺血的独特病例报告。
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