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成功治疗一名儿童左锁骨下假性动脉瘤的有趣病例。

Interesting case of left subclavian pseudoaneurysm in a child managed successfully.

作者信息

Solomon Neville AbelGeorge, Vaidyanathan Swaminathan, Balaji Venugopal, Janeel Musthafa

机构信息

Department Of Pediatric Cardiac Surgery, Apollo Children's Hospital, No. 15, Shafee Mohammed Road, Thousand Lights, Chennai, Tamil Nadu 600006 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2019 Apr;35(2):215-217. doi: 10.1007/s12055-018-0750-z. Epub 2018 Oct 29.

Abstract

Subclavian artery aneurysm is extremely rare, and further aneurysm in a 3-year-old child is more exceptional. Most common causes of subclavian artery aneurysms are atherosclerosis, poststenotic thoracic outlet syndrome, infectious, trauma, and inflammatory arteritis, and connective tissue disorders. Pseudoaneurysms may be due to trauma or any iatrogenic injury to subclavian artery. We present a case report of a 3-year-old male child presented to us with recurrent cough without expectoration for 4-months duration due to compression by a large subclavian artery aneurysm. Patient was successfully managed surgically through left thoracotomy approach. After operation, the patient improved symptomatically. Child was asymptomatic at 3-month follow-up.

摘要

锁骨下动脉动脉瘤极为罕见,3岁儿童出现进一步的动脉瘤则更为罕见。锁骨下动脉动脉瘤最常见的病因是动脉粥样硬化、狭窄后胸廓出口综合征、感染、创伤、炎性动脉炎以及结缔组织疾病。假性动脉瘤可能是由于锁骨下动脉受到创伤或任何医源性损伤所致。我们报告一例3岁男性患儿,因巨大锁骨下动脉动脉瘤压迫,出现持续4个月的反复干咳。患者通过左胸切开术成功接受了手术治疗。术后,患者症状改善。患儿在3个月随访时无症状。

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本文引用的文献

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Intrathoracic left subclavian artery aneurysm: report of a case.胸内左锁骨下动脉动脉瘤:病例报告
Ann Vasc Dis. 2012;5(1):82-4. doi: 10.3400/avd.cr.11.00072. Epub 2012 Jan 31.
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Innominate artery aneurysm.无名动脉动脉瘤。
Eur J Cardiothorac Surg. 2007 Nov;32(5):803. doi: 10.1016/j.ejcts.2007.07.036. Epub 2007 Sep 4.
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