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一名同时患有迷走右锁骨下动脉和卵圆孔未闭患者的间歇性右上肢缺血：病例报告

Intermittent right upper extremity ischemia in a patient with simultaneous aberrant right subclavian artery and patent foramen ovale: A case report.

作者信息

Tayebi Pouya, Davoodi Mahdi, Mahmoudlou Fatemeh

机构信息

Department of Vascular and Endovascular Surgery, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.

Department of Vascular and Endovascular Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Caspian J Intern Med. 2021 Winter;12(1):115-118. doi: 10.22088/cjim.12.1.115.

DOI:10.22088/cjim.12.1.115
PMID:33680409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7919178/
Abstract

BACKGROUND

Upper extremity intermittent ischemia due to non-aneurysmal, not occluded aberrant right subclavian artery (ARSA) is rare.

CASE PRESENTATION

We describe a 30-year-old male who suffered from PFO and non-aneurysmal, not occluded ARSA, and presented by intermittent right upper extremity ischemia. He was treated by right carotid subclavian transposition for ARSA and antiplatelet medication for PFO.

CONCLUSION

Authors assume that intermittent limb ischemia can occur secondary to anatomical changes in a patient without aneurysmal degeneration or occluded ARSA and the existence of pure PFO without any evidence of venous thrombosis is not enough to prove the paradoxical emboli scenario.

摘要

背景

非动脉瘤性、未闭塞的迷走右锁骨下动脉（ARSA）导致的上肢间歇性缺血较为罕见。

病例介绍

我们描述了一名30岁男性，患有卵圆孔未闭（PFO）和非动脉瘤性、未闭塞的ARSA，并表现为右上肢间歇性缺血。他接受了针对ARSA的右颈动脉-锁骨下动脉转位术以及针对PFO的抗血小板药物治疗。

结论

作者认为，在没有动脉瘤样退变或ARSA闭塞的患者中，间歇性肢体缺血可能继发于解剖结构改变，并且单纯存在PFO而无任何静脉血栓形成的证据不足以证明反常栓塞的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/bf63beca7376/cjim-12-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/4e07ae1e9636/cjim-12-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/067c040e813d/cjim-12-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/bf63beca7376/cjim-12-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/4e07ae1e9636/cjim-12-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/067c040e813d/cjim-12-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfd/7919178/bf63beca7376/cjim-12-115-g003.jpg

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