• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一例左臂发凉的有趣病例。

An Interesting Case of a Cold Left Arm.

作者信息

Hmiel Laura, Nemeth Attila

机构信息

Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, USA.

Internal Medicine, Louis Stokes Cleveland VA Medical Center/Case Western Reserve University School of Medicine, Cleveland, USA.

出版信息

Cureus. 2020 Nov 17;12(11):e11524. doi: 10.7759/cureus.11524.

DOI:10.7759/cureus.11524
PMID:33354468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7746329/
Abstract

Inter-arm variability in blood pressure readings typically signifies arterial disease between the aortic arch and the subclavian artery. The differential diagnosis includes thoracic aortic dissection, atherosclerosis, thoracic outlet syndrome, and subclavian artery stenosis and thrombosis. In patients with prior coronary artery bypass grafting, including the internal mammary artery, several of those conditions can compromise coronary blood flow and lead to myocardial ischemia. Here we discuss a case of left subclavian artery thrombosis, which compromised left internal mammary artery blood flow and led to ischemic ventricular tachycardia.

摘要

两臂血压读数的差异通常表明主动脉弓和锁骨下动脉之间存在动脉疾病。鉴别诊断包括胸主动脉夹层、动脉粥样硬化、胸廓出口综合征以及锁骨下动脉狭窄和血栓形成。在既往接受过包括乳内动脉在内的冠状动脉旁路移植术的患者中，上述几种情况可能会影响冠状动脉血流并导致心肌缺血。在此，我们讨论一例左锁骨下动脉血栓形成的病例，该病例影响了左乳内动脉血流并导致缺血性室性心动过速。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/7746329/e2700a2a3f1d/cureus-0012-00000011524-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/7746329/2ae1b8bcb877/cureus-0012-00000011524-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/7746329/e2700a2a3f1d/cureus-0012-00000011524-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/7746329/2ae1b8bcb877/cureus-0012-00000011524-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/7746329/e2700a2a3f1d/cureus-0012-00000011524-i02.jpg

相似文献

1
An Interesting Case of a Cold Left Arm.一例左臂发凉的有趣病例。
Cureus. 2020 Nov 17;12(11):e11524. doi: 10.7759/cureus.11524.
2
Subclavian-coronary steal through a LIMA-to-LAD bypass graft.通过左乳内动脉至左前降支搭桥移植术导致的锁骨下-冠状动脉窃血。
Cathet Cardiovasc Diagn. 1988;14(2):100-4. doi: 10.1002/ccd.1810140208.
3
Percutaneous angioplasty and stenting of left subclavian artery stenosis in patients with left internal mammary-coronary bypass grafts: clinical experience and long-term follow-up.左乳内动脉 - 冠状动脉搭桥患者左锁骨下动脉狭窄的经皮血管成形术和支架置入术：临床经验及长期随访
Vasc Endovascular Surg. 2003 Mar-Apr;37(2):89-97. doi: 10.1177/153857440303700202.
4
Review of coronary subclavian steal syndrome.冠状动脉锁骨下动脉盗血综合征综述。
J Cardiol. 2017 Nov;70(5):432-437. doi: 10.1016/j.jjcc.2017.02.012. Epub 2017 Apr 14.
5
Left Internal Mammary Artery Dissection: Use of Dual Balloon Angioplasty in Treatment of Ostial Dissection Involving Subclavian Artery.左乳内动脉夹层：双球囊血管成形术在治疗累及锁骨下动脉的开口处夹层中的应用。
Del Med J. 2015 Jun;87(6):176-9.
6
Percutaneous transluminal angioplasty and stent placement for subclavian steal syndrome with concomitant anterograde flow in the left internal mammary artery graft for coronary artery bypass--case report.经皮腔内血管成形术及支架置入治疗锁骨下动脉窃血综合征并冠状动脉搭桥术中左乳内动脉桥顺行血流——病例报告
Neurol Med Chir (Tokyo). 2003 Oct;43(10):488-92. doi: 10.2176/nmc.43.488.
7
Stenting for left subclavian artery stenosis in patients scheduled for left internal mammary artery-coronary artery bypass grafting.计划行左乳内动脉-冠状动脉搭桥术患者左锁骨下动脉狭窄的支架置入术
Catheter Cardiovasc Interv. 2016 Mar;87 Suppl 1:579-88. doi: 10.1002/ccd.26477. Epub 2016 Feb 23.
8
Anterograde flow compromise of a patent left internal mammary artery graft from a proximal subclavian artery stenosis. Myocardial ischemia not driven by the coronary-subclavian steal syndrome mechanism.左乳内动脉桥血管自近端锁骨下动脉狭窄导致的顺行血流受损。心肌缺血并非由冠状动脉-锁骨下动脉窃血综合征机制所致。
Arch Cardiol Mex. 2012 Apr-Jun;82(2):135-8.
9
Simultaneous preoperative brachiocephalic angiography and coronary angiography to prevent coronary-subclavian steal syndrome in coronary surgery candidates.对拟行冠状动脉手术的患者同时进行术前头臂血管造影和冠状动脉造影以预防冠状动脉-锁骨下动脉窃血综合征
Heart Surg Forum. 2005;8(3):E175-7. doi: 10.1532/HSF98.20041179.
10
Myocardial ischemia caused by postoperative malfunction of a patent internal mammary coronary arterial graft.
J Vasc Surg. 1990 May;11(5):659-64.

本文引用的文献

1
Long-Term Embolic Outcomes After Detection of Left Ventricular Thrombus by Late Gadolinium Enhancement Cardiovascular Magnetic Resonance Imaging: A Matched Cohort Study.心脏磁共振延迟钆增强成像检测左心室血栓后的长期栓塞结局：一项匹配队列研究。
Circ Cardiovasc Imaging. 2019 Nov;12(11):e009723. doi: 10.1161/CIRCIMAGING.119.009723. Epub 2019 Nov 11.
2
Radiation-Induced Cardiovascular Disease: Mechanisms and Importance of Linear Energy Transfer.辐射诱发的心血管疾病：传能线密度的机制及重要性
Front Cardiovasc Med. 2018 Jan 31;5:5. doi: 10.3389/fcvm.2018.00005. eCollection 2018.
3
Subclavian Artery Disease: Diagnosis and Therapy.
锁骨下动脉疾病：诊断与治疗。
Am J Med. 2017 Apr;130(4):409-416. doi: 10.1016/j.amjmed.2016.12.027. Epub 2017 Jan 19.
4
Management of a subclavian artery thrombosis causing acute anterior wall infarction and concurrent left arm ischemia in a patient with prior coronary bypass.一名曾接受冠状动脉搭桥术的患者发生锁骨下动脉血栓形成，导致急性前壁心肌梗死并并发左臂缺血的治疗
Turk Kardiyol Dern Ars. 2014 Dec;42(8):751-5. doi: 10.5543/tkda.2014.80524.
5
Evaluation of risk stratification schemes for ischaemic stroke and bleeding in 182 678 patients with atrial fibrillation: the Swedish Atrial Fibrillation cohort study.评估 182678 例心房颤动患者缺血性卒中和出血的风险分层方案：瑞典心房颤动队列研究。
Eur Heart J. 2012 Jun;33(12):1500-10. doi: 10.1093/eurheartj/ehr488. Epub 2012 Jan 13.
6
Subclavian artery thrombosis associated with acute ST-segment elevation myocardial infarction.锁骨下动脉血栓形成合并急性 ST 段抬高型心肌梗死。
Ann Thorac Surg. 2009 Dec;88(6):2036-8. doi: 10.1016/j.athoracsur.2009.05.045.
7
Diagnosis of thoracic outlet syndrome.胸廓出口综合征的诊断
J Vasc Surg. 2007 Sep;46(3):601-4. doi: 10.1016/j.jvs.2007.04.050.
8
ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death).美国心脏病学会/美国心脏协会/欧洲心脏病学会2006年室性心律失常患者管理和心脏性猝死预防指南：美国心脏病学会/美国心脏协会特别工作组及欧洲心脏病学会实践指南委员会（制定室性心律失常患者管理和心脏性猝死预防指南写作委员会）报告
J Am Coll Cardiol. 2006 Sep 5;48(5):e247-346. doi: 10.1016/j.jacc.2006.07.010.
9
Subclavian artery occlusion causing acute myocardial infarction in a patient with a left internal mammary artery graft.
Catheter Cardiovasc Interv. 2006 Aug;68(2):326-31. doi: 10.1002/ccd.20789.
10
Aortic dissection: new frontiers in diagnosis and management: Part I: from etiology to diagnostic strategies.主动脉夹层：诊断与治疗的新前沿：第一部分：从病因到诊断策略
Circulation. 2003 Aug 5;108(5):628-35. doi: 10.1161/01.CIR.0000087009.16755.E4.