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上肢动静脉内瘘患者腋-锁骨下静脉血栓形成致单侧眼球突出（眼球突出）。

Unilateral Proptosis (Exophthalmos) Caused by Axillary-Subclavian Venous Thrombosis in a Patient with Upper Extremity Arteriovenous Dialysis Fistula.

机构信息

Hospital Universitario 12 de Octubre, Madrid, Spain.

出版信息

Methodist Debakey Cardiovasc J. 2021 Oct 20;17(3):24-27. doi: 10.14797/mdcvj.699. eCollection 2021.

DOI:10.14797/mdcvj.699
PMID:34824675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8588745/
Abstract

Arterialization of orbital veins is most often due to dural arteriovenous malformations of the cavernous sinus area. We report an unusual case of unilateral proptosis (exophthalmos) caused by arterialized retrograde venous flow in the external jugular vein and cavernous sinus in a patient with an upper extremity hemodialysis fistula and ipsilateral acute central venous thrombosis. The patient's symptoms improved after surgical closure of the hemodialysis fistula.

摘要

眼眶静脉动脉化最常见于海绵窦区硬脑膜动静脉畸形。我们报告了一例不常见的病例，患者上肢动静脉内瘘伴同侧急性中心静脉血栓形成，导致颈外静脉和海绵窦逆向静脉血流动脉化，引起单侧眼球突出（眼球突出）。手术闭合动静脉内瘘后，患者症状改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/17b58ab2122e/mdcvj-17-3-699-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/284745e05bc3/mdcvj-17-3-699-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/4a699c36b55f/mdcvj-17-3-699-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/17b58ab2122e/mdcvj-17-3-699-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/284745e05bc3/mdcvj-17-3-699-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/4a699c36b55f/mdcvj-17-3-699-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a58/8588745/17b58ab2122e/mdcvj-17-3-699-g3.jpg

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Unilateral Proptosis (Exophthalmos) Caused by Axillary-Subclavian Venous Thrombosis in a Patient with Upper Extremity Arteriovenous Dialysis Fistula.上肢动静脉内瘘患者腋-锁骨下静脉血栓形成致单侧眼球突出（眼球突出）。
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本文引用的文献

1
Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula.伴有眼上静脉扩张的症状性颈静脉反流，酷似海绵窦硬脑膜动静脉瘘。
Radiol Case Rep. 2019 Jul 18;14(9):1167-1170. doi: 10.1016/j.radcr.2019.06.027. eCollection 2019 Sep.
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Pulsatile tinnitus as a presenting symptom of central venous stenosis secondary to an ipsilateral upper arm arteriovenous PTFE graft.搏动性耳鸣作为同侧上臂动静脉聚四氟乙烯移植物继发中心静脉狭窄的首发症状。
BMJ Case Rep. 2019 Jul 26;12(7):e229398. doi: 10.1136/bcr-2019-229398.
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Sight-threatening intraocular pressure due to an upper arm dialysis fistula.
上臂透析动静脉内瘘导致的威胁视力的眼压升高。
Lancet. 2015 Jul 4;386(9988):101-2. doi: 10.1016/S0140-6736(15)61003-0.
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Symptomatic central venous stenosis in a hemodialysis patient leading to loss of arteriovenous access: a case report and literature review.一名血液透析患者出现有症状的中心静脉狭窄导致动静脉通路丧失：病例报告及文献综述
Nephron Extra. 2014 Mar 28;4(1):50-4. doi: 10.1159/000360365. eCollection 2014 Jan.
5
Deep venous thrombosis of the upper extremity. A review.上肢深静脉血栓形成。综述。
Int Angiol. 2013 Oct;32(5):447-52.
6
Brachiocephalic vein stenosis in association with ipsilateral hyperdynamic brachio-basilic fistula causing ipsilateral facial swelling and contralateral papillodema and visual loss. A case report.头臂静脉狭窄合并同侧高动力性肱-贵要静脉瘘导致同侧面部肿胀、对侧视乳头水肿和视力丧失。病例报告。
Interv Neuroradiol. 2010 Sep;16(3):322-5. doi: 10.1177/159101991001600316. Epub 2010 Oct 25.
7
Massive arm edema following arteriovenous dialysis shunt creation in a patient with ipsilateral permanent pacemaker.一名患有同侧永久性起搏器的患者在动静脉透析分流术后出现严重手臂水肿。
J Clin Ultrasound. 2008 Jun;36(5):321-4. doi: 10.1002/jcu.20405.
8
Upper extremity arteriovenous dialysis fistula resulting in cavernous sinus arterialized blood flow.上肢动静脉透析瘘导致海绵窦动脉化血流。
AJNR Am J Neuroradiol. 2007 Jun-Jul;28(6):1155-6. doi: 10.3174/ajnr.A0504.
9
Coagulation disorders in uremia.尿毒症中的凝血障碍。
Semin Nephrol. 2006 Jan;26(1):46-51. doi: 10.1016/j.semnephrol.2005.06.011.
10
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Ann Vasc Surg. 2003 Sep;17(5):526-9. doi: 10.1007/s10016-003-0048-4. Epub 2003 Sep 10.