创伤性乳内血管动静脉瘘
Traumatic arteriovenous fistula of the internal mammary vessels.
作者信息
Yerebakan C, Westphal B, Kröger J-C, Steinhoff G
机构信息
Department of Cardiac Surgery, Medical Faculty, University of Rostock, 18057 Rostock, Germany.
出版信息
Thorac Cardiovasc Surg. 2009 Oct;57(7):422-4. doi: 10.1055/s-2008-1039268. Epub 2009 Sep 30.
An uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization.
本文报道了一例罕见的穿透性胸部创伤后左乳内动脉创伤性动静脉瘘病例。患者在左侧胸骨旁刺伤后因心包填塞行开胸修复术，术后六天出现左侧胸骨旁机器样杂音。选择性数字减影血管造影显示左乳内动脉形成假性动脉瘤并与相邻静脉存在瘘管连接。通过弹簧圈栓塞成功闭塞了瘘管。
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