Setia Ocean, Chan Shin Mei, Ullrich Sarah, Hornick Matthew A, Ochoa Chaar Cassius Iyad
Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT.
Yale University School of Medicine, New Haven, CT.
J Vasc Surg Cases Innov Tech. 2022 Sep 7;8(4):565-568. doi: 10.1016/j.jvscit.2022.08.020. eCollection 2022 Dec.
Pediatric acute limb ischemia is rare but can have devastating effects on children. The most common causes of acute limb ischemia in the pediatric age group are iatrogenic injury during cardiac catheterization and traumatic vessel injury. Embolic events have been described less often. We present the case of an 8-year-old girl with cryptogenic extensive bilateral lower extremity ischemia and embolization to multiple visceral organs. Our findings have highlighted the importance of interdisciplinary workup, timely intervention, and the advantage of intraoperative imaging for revascularization.
小儿急性肢体缺血较为罕见，但可对儿童造成严重影响。小儿年龄组急性肢体缺血的最常见原因是心导管插入术期间的医源性损伤和外伤性血管损伤。栓塞事件的报道较少。我们报告一例8岁女孩，患有原因不明的广泛性双侧下肢缺血并伴有多个内脏器官栓塞。我们的研究结果突出了多学科检查、及时干预的重要性以及术中成像对血管重建的优势。
