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锁骨下动脉假性动脉瘤合并罕见的指端坏疽病例

Subclavian Artery Pseudoaneurysm in an Unusual Case of Digital Gangrene.

作者信息

Majhi Bhuban, Pal Nandita

机构信息

Department of Cardiology, Institute of Cardiovascular Sciences, IPGME&R, Kolkata, West Bengal, India.

Department of Microbiology, CMSDH, Kolkata, West Bengal, India.

出版信息

J Cardiovasc Echogr. 2017 Jan-Mar;27(1):17-19. doi: 10.4103/2211-4122.199061.

Abstract

A young male patient presented at a tertiary care hospital with cold and bluish left upper limb accompanied with digital gangrene arousing suspicion of peripheral vascular disease. History did not reveal any high-risk behavior. Clinical examination and subsequent investigations lead to the diagnosis of acute infective endocarditis of native aortic valve along with peripheral embolism caused by methicillin-resistant . Fogarty's balloon embolectomy was done following which patient developed pseudoaneurysm of the left subclavian artery. These iatrogenic sequelae were managed with the resection of the pseudoaneurysm and prolonged antibiotic therapy as per the culture and sensitivity report.

摘要

一名年轻男性患者就诊于一家三级护理医院,其左上肢发冷、呈蓝色,并伴有手指坏疽,怀疑患有周围血管疾病。病史未显示任何高危行为。临床检查及后续检查诊断为原发性主动脉瓣急性感染性心内膜炎,伴有耐甲氧西林菌引起的周围栓塞。进行了Fogarty球囊取栓术,术后患者出现左锁骨下动脉假性动脉瘤。这些医源性后遗症通过切除假性动脉瘤并根据培养和药敏报告进行长期抗生素治疗来处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a363/5353469/743a8c7a9b72/JCE-27-17-g001.jpg

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