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复杂肺动静脉瘘合并室性心动过速和2型急性心肌梗死

Complex Pulmonary Arteriovenous Fistula Presented With Ventricular Tachycardia and Type 2 Acute Myocardial Infarction.

作者信息

Ma Ming Ren, Shi Liang, Wang Fei, Cai Xiaoqing, Ma Ling

机构信息

Cardiology, 940th Hospital, Joint Logistics Support Force, Chinese People's Liberation Army (PLA), Lanzhou, CHN.

出版信息

Cureus. 2024 May 30;16(5):e61347. doi: 10.7759/cureus.61347. eCollection 2024 May.

DOI:10.7759/cureus.61347
PMID:38947641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11214123/
Abstract

Pulmonary arteriovenous fistula (PAVF) is a rare congenital vascular malformation primarily manifested as dyspnea, migraine, ischemic stroke, hemoptysis, and nervous system complications. However, in our case, an 18-year-old male patient with PAVF presented with sudden onset of ventricular tachycardia and type 2 acute myocardial infarction as initial symptoms. A diagnosis was achieved through pulmonary artery computer tomography angiography (CTA) and three-dimensional (3D) computed tomography (CT) reconstruction, revealing a complex and giant PAVF. Following multidisciplinary team (MDT) consultation, the patient underwent thoracoscopic surgery and experienced a successful recovery during follow-up.

摘要

肺动静脉瘘（PAVF）是一种罕见的先天性血管畸形，主要表现为呼吸困难、偏头痛、缺血性中风、咯血和神经系统并发症。然而，在我们的病例中，一名患有PAVF的18岁男性患者最初表现为突发室性心动过速和2型急性心肌梗死。通过肺动脉计算机断层扫描血管造影（CTA）和三维（3D）计算机断层扫描（CT）重建得以确诊，显示为一个复杂的巨大肺动静脉瘘。经过多学科团队（MDT）会诊后，患者接受了胸腔镜手术，随访期间恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/7dbeb705d70c/cureus-0016-00000061347-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/90195572d3f3/cureus-0016-00000061347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/7fd63e096fd3/cureus-0016-00000061347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/1aa3a0ce97e0/cureus-0016-00000061347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/08a618fdec99/cureus-0016-00000061347-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/0ce48c8afdb8/cureus-0016-00000061347-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/7dbeb705d70c/cureus-0016-00000061347-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/90195572d3f3/cureus-0016-00000061347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/7fd63e096fd3/cureus-0016-00000061347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/1aa3a0ce97e0/cureus-0016-00000061347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/08a618fdec99/cureus-0016-00000061347-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/0ce48c8afdb8/cureus-0016-00000061347-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9327/11214123/7dbeb705d70c/cureus-0016-00000061347-i06.jpg

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