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严重漏斗胸的一种不常见临床表现:深静脉血栓形成和流产。

Deep venous thrombosis and abortion: an unusual clinical manifestation of severe form of pectus excavatum.

机构信息

Department of Thoracic Surgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.

出版信息

Gen Thorac Cardiovasc Surg. 2021 May;69(5):897-901. doi: 10.1007/s11748-020-01583-0. Epub 2021 Jan 27.

Abstract

Pectus excavatum is a chest wall malformation with a strong psychological and aesthetic impact. Rarely, pectus excavatum patients can show respiratory or cardiac symptoms occurring mainly during physical exertion. We report a case of a 34-year-old pregnant woman with a severe degree of pectus excavatum who developed serious cardiovascular disease resulting in spontaneous twin abortion at the twenty-first week of gestation. Cardiovascular disease was resolved after open surgical correction of pectus excavatum. This case shows how a tardive diagnosis and a delayed surgical approach for pectus excavatum can lead to severe consequences.

摘要

漏斗胸是一种胸廓畸形,对患者的心理和美观有较大影响。极少数情况下,漏斗胸患者可能会出现主要在体力活动时发生的呼吸或心脏症状。我们报告了一例 34 岁孕妇,患有严重程度的漏斗胸,在妊娠 21 周时因严重心血管疾病导致自然双胎流产。心血管疾病在漏斗胸开放手术矫正后得到解决。该病例表明,漏斗胸的迟发性诊断和延迟手术方法可能会导致严重后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4017/8058001/aa9a31cc0335/11748_2020_1583_Fig1_HTML.jpg

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