Lebreton Guillaume, Uzel André-Pierre, Celerien Jocelyn, Roques Francois, Deneuville Michel
Service de Chirurgie Thoracique et Cardio-Vasculaire, CHU, Fort de France, France.
Ann Vasc Surg. 2010 Oct;24(7):952.e17-21. doi: 10.1016/j.avsg.2010.02.051. Epub 2010 Jul 6.
We report the case of a 22-year-old man who presented with a popliteal arteriovenous fistula after a gunshot injury to his right knee. The diagnosis, made in the Emergency Department, was confirmed by arteriography, allowing quick therapeutic intervention. The lesions to the popliteal artery and vein were repaired with a double venous bypass, followed by relieving fasciotomy. Satisfactory clinical results were achieved after 2 months and magnetic resonance imaging revealed normal permeability of the vascular axes. Three years after his operation, our patient has normal function of his knee. The physiopathology, diagnostic difficulties, and management of this type of lesion are discussed with a review of the literature.
我们报告了一名22岁男性的病例，该患者右膝枪伤后出现腘动静脉瘘。在急诊科做出的诊断经动脉造影得以证实，从而能够迅速进行治疗干预。采用双静脉搭桥修复腘动脉和静脉的损伤，随后进行减压筋膜切开术。2个月后取得了满意的临床效果，磁共振成像显示血管轴的通透性正常。术后三年，我们的患者膝关节功能正常。本文结合文献复习讨论了这类损伤的病理生理学、诊断难点及处理方法。
