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[髂动静脉瘘作为腰椎间盘手术的一种并发症]

[Iliac arteriovenous fistula as a complication of lumbar disc surgery].

作者信息

Lecocq C, Lemaitre J, Wery D, Lebrun E

机构信息

Services de Chirurgie Générale, C.H.U. Ambroise Paré, Mons.

出版信息

Rev Med Brux. 2011 Jan-Feb;32(1):43-5.

Abstract

A 56-year-old man suffering from moderate dyspnea was hospitalised in the unit of surgery. Fifteen days before, he was subjected to a discectomy at L4-L5. The clinical examination demonstrated sinus tachycardia and hepatomegalia. An abdominal CT revealed an arteriovenous fistula between the right common iliac artery and vein that was subsequently confirmed by angiography. The patient underwent an endovascular stent-graft which was positioned at the level of the right common iliac artery related to the fistula. This treatment had an immediate successful effect leading the cardiac rhythm to be back to normal and the fistula to dry up.

摘要

一名56岁患有中度呼吸困难的男性入住外科病房。15天前,他接受了L4-L5椎间盘切除术。临床检查显示窦性心动过速和肝肿大。腹部CT显示右髂总动静脉之间存在动静脉瘘,随后血管造影证实了这一点。患者接受了血管内支架植入术,该支架位于与瘘管相关的右髂总动脉水平。这种治疗立即取得了成功,使心律恢复正常,瘘管干涸。

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