[左上臂Schöbinger II期动静脉畸形：马达加斯加的一例病例报告]

[Arteriovenous malformation of the left upper limb in stage II of Schöbinger: A case report in Madagascar].

作者信息

Raherinantenaina F, Rajaonanahary T M A, Randriamandrato T A V, Rakotomena S D, Rajaonarivony T, Rakoto Ratsimba H N

机构信息

USFR (unité de soins de formation et de recherche), chirurgie générale et vasculaire, CHUJRA (centre hospitalier universitaire Joseph Ravoahangy Andrianavalona), BP 4150, Antananarivo, Madagascar.

出版信息

Ann Cardiol Angeiol (Paris). 2015 Sep;64(4):296-9. doi: 10.1016/j.ancard.2013.08.002. Epub 2013 Aug 27.

DOI:10.1016/j.ancard.2013.08.002

PMID:24035259

Abstract

Arteriovenous malformations are the most unpredictable and dangerous congenital malformations. They consist of multiple arteriovenous shunts with high flow and can progress to heart failure. They are rarely localized in the upper limb and pose therapeutic problems. We report a new case in a 27-year old woman, admitted for pulsatile pain in the left elbow. The diagnosis was made by clinical examination and ultrasonography. The surgical treatment without embolization and sclerotherapy, consisted of a large resection of the nidus without postoperative complication.

摘要

动静脉畸形是最不可预测且危险的先天性畸形。它们由多个高流量的动静脉分流组成，可进展为心力衰竭。它们很少局限于上肢，并且存在治疗难题。我们报告了一例新病例，患者为一名27岁女性，因左肘部搏动性疼痛入院。通过临床检查和超声检查做出诊断。未进行栓塞和硬化治疗的手术治疗包括对病灶进行大面积切除，术后无并发症。