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一名11岁患有血管性埃勒斯-当洛综合征患者的腘动脉破裂病例。

A case of popliteal artery rupture in an 11-year-old patient with vascular Ehlers-Danlos syndrome.

作者信息

Endo Takashi, Takayama Toshio, Suhara Masamitsu, Mochizuki Yasuaki, Taniguchi Ryosuke, Hoshina Katsuyuki

机构信息

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2023 Feb 22;9(2):101129. doi: 10.1016/j.jvscit.2023.101129. eCollection 2023 Jun.

Abstract

We have described a case of multiple surgeries for a ruptured popliteal artery in an 11-year-old female patient with vascular Ehlers-Danlos syndrome. She underwent emergency hematoma evacuation and ruptured popliteal artery interposition with the great saphenous vein graft, which was notably fragile during surgery and had ruptured on the seventh postoperative day. We performed another emergency hematoma evacuation and popliteal artery interposition with an expanded polytetrafluoroethylene vascular graft. Despite the early occlusion of the expanded polytetrafluoroethylene graft, she recovered with mild intermittent claudication in the left lower extremity and was discharged on postoperative day 20 after the first surgery.

摘要

我们描述了一名患有血管性埃勒斯-当洛综合征的11岁女性患者腘动脉破裂后进行多次手术的病例。她接受了急诊血肿清除术,并使用大隐静脉移植物进行腘动脉破裂处的血管置换,术中该移植物明显脆弱,术后第七天破裂。我们又进行了一次急诊血肿清除术,并使用膨体聚四氟乙烯血管移植物进行腘动脉置换。尽管膨体聚四氟乙烯移植物早期闭塞,但她恢复后左下肢有轻度间歇性跛行,并在第一次手术后第20天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e7/10033991/052057f02f00/gr1.jpg

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