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腹主动脉瘤的罕见病例:下腔静脉瘤——病例报告

An unusual case of abdominal aneurysm: Inferior vena cava aneurysm - A case report.

作者信息

Jayaram Ashwal, Ramachandra Padmakumar, Nayak Krishnananda, Pai Umesh

机构信息

Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal 576104, India.

Department of Cardiovascular Technology, School of Allied Health Science (SOAHS), Manipal Academy of Higher Education, Manipal, India.

出版信息

J Cardiol Cases. 2018 Dec 17;19(2):41-46. doi: 10.1016/j.jccase.2018.08.011. eCollection 2019 Feb.

Abstract

Venous aneurysms are rarely reported in the literature since they are usually asymptomatic and incidentally detected due to complications such as thrombosis and pulmonary embolism. Often an inferior vena cava (IVC) aneurysm is detected by imaging studies performed for other causes. We report a case of large Type II IVC aneurysm associated with severe pectus excavatum in an asymptomatic man detected on routine 2D echocardiography. Focal narrowing of the IVC at the level of xiphisternum detected in multi-slice computed tomography might be the possible etiology for IVC aneurysm. < Even though inferior vena cava aneurysms are rare, they can easily be diagnosed non-invasively by 2D echocardiography, ultrasound, and multi-slice computed tomography. The proximal obstruction of inferior vena cava by the xiphisternum as a complication of a severe form of pectus excavatum resulting in inferior vena cava aneurysm is probably a rare and possibly the only reported case in the literature.>.

摘要

静脉瘤在文献中鲜有报道,因为它们通常无症状,而是在出现诸如血栓形成和肺栓塞等并发症时才偶然被发现。下腔静脉(IVC)瘤常常是在因其他原因进行影像学检查时被发现。我们报告一例在常规二维超声心动图检查中发现的、与严重漏斗胸相关的大型II型下腔静脉瘤病例,患者为无症状男性。多层计算机断层扫描显示剑突水平下腔静脉局部狭窄,这可能是下腔静脉瘤的病因。<尽管下腔静脉瘤罕见,但通过二维超声心动图、超声和多层计算机断层扫描等检查很容易对其进行无创诊断。严重漏斗胸并发症导致剑突对下腔静脉近端梗阻进而引发下腔静脉瘤,这可能是文献中罕见且可能是唯一报道的病例。>

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