da Costa Débora Louise Lopes, Felipe Geraldo, Borges Marcos Aurélio Perciano
Hospital de Base do Distrito Federal - HBDF, Unidade de Cirurgia Vascular e Angiologia, Brasília, DF, Brasil.
J Vasc Bras. 2017 Oct-Dec;16(4):325-328. doi: 10.1590/1677-5449.005317.
Crutch-induced arterial aneurysm is a rare event and there are no descriptions in the literature of cases with concomitant venous aneurysms. We report the case of a patient who, after prolonged crutch use, presented with acute ischemia of the upper limb secondary to brachial artery aneurysm thrombosis, associated with the incidental finding of brachial vein aneurysms. Although the main cause of acute upper limb occlusion is embolization of cardiac origin, consideration should be given to the possibility of arterio-arterial embolization due to an aneurysm induced by prolonged use of crutches. Venous aneurysms should also be suspected since they can be sites of thrombosis, and a source of pulmonary embolism.
拐杖导致的动脉瘤是一种罕见事件,文献中没有关于合并静脉动脉瘤病例的描述。我们报告一例患者,在长期使用拐杖后,出现上肢急性缺血,继发于肱动脉动脉瘤血栓形成,并偶然发现肱静脉动脉瘤。虽然急性上肢闭塞的主要原因是心脏来源的栓塞,但应考虑长期使用拐杖诱发动脉瘤导致动脉-动脉栓塞的可能性。还应怀疑静脉动脉瘤,因为它们可能是血栓形成的部位,也是肺栓塞的来源。