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创伤性胸降主动脉横断：肺静脉梗阻的罕见原因。

Traumatic transection of descending thoracic aorta: A rare cause of pulmonary vein obstruction.

作者信息

Kumar Alok, Kumar Bhupesh, Kumar Rupesh

机构信息

Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ann Card Anaesth. 2018 Jul-Sep;21(3):293-296. doi: 10.4103/aca.ACA_195_17.

DOI:10.4103/aca.ACA_195_17
PMID:30052219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6078015/
Abstract

Pulmonary vein obstruction is rare condition characterized by challenging diagnosis and unfavorable prognosis at advanced stage. Computerized tomography, magnetic resonance imaging, and transesophageal echocardiography (TEE) are often essential to reach a final diagnosis. External compression of pulmonary vein resulting from the mass effect of pseudoaneurysm and perianeurysmal hematoma due to aortic transection is extremely rare. We describe a case of traumatic transection of descending thoracic aorta where TEE was instrumental in the diagnosis of left upper pulmonary vein obstruction and help in the modification of the surgical plan.

摘要

肺静脉梗阻是一种罕见疾病，其特征为诊断具有挑战性且晚期预后不佳。计算机断层扫描、磁共振成像和经食管超声心动图（TEE）通常对于最终诊断至关重要。由假性动脉瘤的肿块效应和主动脉横断导致的动脉瘤周围血肿引起的肺静脉外部压迫极为罕见。我们描述了一例降主动脉创伤性横断病例，其中TEE有助于诊断左上肺静脉梗阻并协助修改手术方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b5214b0dfc6e/ACA-21-293-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/6c94b6657f1a/ACA-21-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b72b5e3e7c3e/ACA-21-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/7f75c69df5ba/ACA-21-293-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b5d7b11c2231/ACA-21-293-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/94f06f7102ab/ACA-21-293-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b5214b0dfc6e/ACA-21-293-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/6c94b6657f1a/ACA-21-293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b72b5e3e7c3e/ACA-21-293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/7f75c69df5ba/ACA-21-293-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b5d7b11c2231/ACA-21-293-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/94f06f7102ab/ACA-21-293-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7831/6078015/b5214b0dfc6e/ACA-21-293-g006.jpg

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