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外科肺动脉血栓切除术治疗并发急性肢体缺血的肺栓塞

Pulmonary Embolism Complicated by Acute Limb Ischemia Managed by Surgical Pulmonary Embolectomy.

作者信息

Marginean Alexandru, Haines Jeremiah F, Perez-Tamayo R Anthony, Bechara Carlos, Darki Amir

机构信息

Department of Cardiology, Loyola University Medical Center, Maywood, USA.

Department of Medicine, Loyola University Medical Center, Maywood, USA.

出版信息

Cureus. 2021 Apr 20;13(4):e14598. doi: 10.7759/cureus.14598.

DOI:10.7759/cureus.14598
PMID:34036016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8137417/
Abstract

Acute pulmonary embolism (PE) is a manifestation of venous thromboembolic disease with potential serious and life-threatening complications. Management options for acute PE have drastically improved over the last 15 years with the introduction of multidisciplinary pulmonary embolism response teams throughout the world. We present the case of an 18-year-old woman diagnosed with acute PE complicated by near-complete occlusion of her left common femoral artery from a paradoxical embolus in the setting of patent foramen ovale (PFO), managed with surgical pulmonary embolectomy and surgical PFO repair.

摘要

急性肺栓塞（PE）是静脉血栓栓塞性疾病的一种表现，具有潜在的严重且危及生命的并发症。在过去15年里，随着全球多学科肺栓塞反应团队的引入，急性PE的治疗选择有了显著改善。我们报告一例18岁女性病例，该患者被诊断为急性PE，在卵圆孔未闭（PFO）的情况下，因反常栓塞导致左股总动脉几乎完全闭塞，通过手术肺栓子切除术和手术修复PFO进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/1d355b99b913/cureus-0013-00000014598-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/e666bf837c9f/cureus-0013-00000014598-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/ae74dd7e1617/cureus-0013-00000014598-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/1d355b99b913/cureus-0013-00000014598-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/e666bf837c9f/cureus-0013-00000014598-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/ae74dd7e1617/cureus-0013-00000014598-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8137417/1d355b99b913/cureus-0013-00000014598-i03.jpg

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