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静脉搭桥移植血管巨大动脉瘤导致上腔静脉综合征。

Gigantic aneurysm of a venous bypass graft causing superior vena cava syndrome.

作者信息

Buszkiewicz Karol S, Bugajski Paweł, Kąsinowski Ryszard, Furmaniuk Jaromir, Rzeźniczak Janusz, Poprawka Tomasz, Jedliński Ireneusz, Greberski Krzysztof, Kalawski Ryszard

机构信息

Oddział Kardiochirurgii z Salami Intensywnego Nadzoru Kardiologicznego, Wielospecjalistyczny Szpital Miejski im. J. Strusia w Poznaniu ; Zakład Profilaktyki Chorób Układu Krążenia, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu.

Oddział Kardiochirurgii z Salami Intensywnego Nadzoru Kardiologicznego, Wielospecjalistyczny Szpital Miejski im. J. Strusia w Poznaniu.

出版信息

Kardiochir Torakochirurgia Pol. 2014 Mar;11(1):71-5. doi: 10.5114/kitp.2014.41936. Epub 2014 Mar 27.

DOI:10.5114/kitp.2014.41936
PMID:26336399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4283900/
Abstract

A case of a 66-year-old patient 13 years after coronary artery bypass grafting (CABG) admitted to hospital with typical ischemic chest pain and symptoms of superior vena cava syndrome (SVCS) is described. Non-invasive diagnostics confirmed acute coronary syndrome: non-ST-elevated myocardial infarction (ACS NSTEMI). Trans-thoracic echocardiography (TTE) revealed a gigantic tumor mass modeling the right atrium, causing chronic cardiac tamponade. Angiography showed that the tumor mass was in fact the aneurysmatically changed venous bypass graft to the right coronary artery (RCA). Computed tomography angiography (CT-angio) confirmed venous aneurysm size (the longest diameters were 10.2 cm × 8.7 cm). We also present treatment planning and the aneurysmal surgical removal procedure of this very rare case.

摘要

本文描述了一例66岁患者，在冠状动脉旁路移植术（CABG）13年后因典型的缺血性胸痛和上腔静脉综合征（SVCS）症状入院。无创诊断确诊为急性冠状动脉综合征：非ST段抬高型心肌梗死（ACS NSTEMI）。经胸超声心动图（TTE）显示一个巨大的肿瘤样肿块，呈右心房形态，导致慢性心脏压塞。血管造影显示该肿瘤样肿块实际上是右冠状动脉（RCA）静脉旁路移植血管的动脉瘤样改变。计算机断层血管造影（CT血管造影）证实了静脉瘤的大小（最长直径为10.2 cm×8.7 cm）。我们还展示了这一罕见病例的治疗方案及动脉瘤手术切除过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/751128d2cb0b/KITP-11-22560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/435ecde7475e/KITP-11-22560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/56c482f5c156/KITP-11-22560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/85fcb5896e49/KITP-11-22560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/9c0b3f6fd80e/KITP-11-22560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/28d518486cc9/KITP-11-22560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/751128d2cb0b/KITP-11-22560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/435ecde7475e/KITP-11-22560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/56c482f5c156/KITP-11-22560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/85fcb5896e49/KITP-11-22560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/9c0b3f6fd80e/KITP-11-22560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/28d518486cc9/KITP-11-22560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef92/4283900/751128d2cb0b/KITP-11-22560-g006.jpg

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一例大隐静脉移植血管动脉瘤并向右心房形成瘘管：一种罕见的搭桥移植血管并发症的外科治疗
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