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无名动脉撕脱并继发主动脉-锁骨下动脉移植物闭塞的复杂病例

A Complicated Case of Innominate Artery Avulsion and Subsequent Aorto-subclavian Graft Occlusion.

作者信息

Ahmad Mansoor, Asghar Muhammad, Divecha Chirag, Swain Timothy W

机构信息

Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA.

Cardiology, University of Illinois College of Medicine at Peoria, Peoria, USA.

出版信息

Cureus. 2019 Jul 1;11(7):e5056. doi: 10.7759/cureus.5056.

DOI:10.7759/cureus.5056
PMID:31293843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6605967/
Abstract

A 41-year-old female presented with complaints of right arm claudication, weakness, and pain associated with serous drainage from a previous incision site to the right anterior chest. At age 16, this patient was involved in a motor vehicle accident, which resulted in a right innominate artery and brachiocephalic vein avulsion. The two vessels were immediately ligated and oversewn. The perfusion to her right arm was supplied by cerebral collateral circulation down the right vertebral to the right subclavian artery.

摘要

一名41岁女性,主诉右臂间歇性跛行、无力,并伴有从前切口部位至右前胸的浆液性引流及疼痛。该患者16岁时曾发生机动车事故,导致右无名动脉和头臂静脉撕裂。这两条血管立即被结扎并缝合。她右臂的血供由右椎动脉经脑侧支循环下行至右锁骨下动脉提供。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af6/6605967/2ffba2fee87f/cureus-0011-00000005056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af6/6605967/2ffba2fee87f/cureus-0011-00000005056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af6/6605967/2ffba2fee87f/cureus-0011-00000005056-i01.jpg

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1
A Complicated Case of Innominate Artery Avulsion and Subsequent Aorto-subclavian Graft Occlusion.无名动脉撕脱并继发主动脉-锁骨下动脉移植物闭塞的复杂病例
Cureus. 2019 Jul 1;11(7):e5056. doi: 10.7759/cureus.5056.
2
[The avulsion of subclavian artery from brachiocephalic trunk and subclavian vein from right brachiocephalic vein with brachial plexus injury].[锁骨下动脉自头臂干撕脱及锁骨下静脉自右头臂静脉撕脱伴臂丛神经损伤]
Wiad Lek. 2013;66(3):241-3.
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本文引用的文献

1
Blunt Injury of the Innominate Artery: What Surprises to Expect? A Case Report.无名动脉钝性损伤:会有哪些意外情况?病例报告
Vasc Endovascular Surg. 2018 Apr;52(3):226-232. doi: 10.1177/1538574418758230. Epub 2018 Feb 12.
2
Traumatic transection of the innominate artery.无名动脉创伤性横断伤。
Interact Cardiovasc Thorac Surg. 2003 Dec;2(4):569-71. doi: 10.1016/S1569-9293(03)00148-8.
3
A case of recent traumatic avulsion of the innominate artery at its origin from the aortic arch. Successful surgical repair with deep hypothermia.
一例近期发生的无名动脉在主动脉弓起始处的创伤性撕脱伤。采用深度低温进行成功的手术修复。
J Thorac Cardiovasc Surg. 1962 May;43:670-6.
4
Operations on large arteries; application of recent advances.大动脉手术;近期进展的应用
Calif Med. 1952 Oct;77(4):229-33.
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Traumatic rupture of the innominate artery.无名动脉创伤性破裂
Eur J Cardiothorac Surg. 2003 May;23(5):782-7. doi: 10.1016/s1010-7940(03)00032-0.
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Traumatic innominate artery transection.创伤性无名动脉横断
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7
Delayed presentation and rupture of a posttraumatic innominate artery aneurysm: case report and review of the literature.创伤后无名动脉动脉瘤的延迟表现与破裂:病例报告及文献复习
J Trauma. 1997 Jun;42(6):1187-95. doi: 10.1097/00005373-199706000-00038.
8
Traumatic avulsion of the innominate artery from the aorta. Successful immediate repair utilizing cardiopulmonary bypass.
Ann Thorac Surg. 1968 May;5(5):451-8. doi: 10.1016/s0003-4975(10)66379-5.