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老年患者未破裂右锁骨下动脉瘤的放射学诊断、急诊血管内治疗及随访:病例报告

Radiological diagnosis and emergency endovascular management, and follow-up of a unruptured right subclavian artery aneurysm in an elderly patient: A case report.

作者信息

Adhikari Pratik

机构信息

Department of Radiology, B.P. Koirala Institute of Health Sciences, Dharan, 56700, Nepal.

出版信息

Radiol Case Rep. 2024 Aug 28;19(11):5336-5341. doi: 10.1016/j.radcr.2024.07.164. eCollection 2024 Nov.

Abstract

Right subclavian artery aneurysms are rare vascular anomalies that can present significant diagnostic and management challenges, especially in elderly patients. We present a case of a 72-year-old female who presented with sudden onset chest pain and was diagnosed with an unruptured right subclavian artery aneurysm with partial thrombus formation. Advanced imaging, including chest X-ray and contrast-enhanced CT scan, confirmed the diagnosis and guided a successful endovascular repair, stabilizing the patient. Follow-up care included regular clinical assessments and imaging studies to monitor the aneurysm's status and detect potential complications. This case underscores the critical role of early radiological diagnosis and prompt intervention in managing subclavian artery aneurysms, highlighting the effectiveness of endovascular techniques in such cases.

摘要

右锁骨下动脉瘤是罕见的血管异常,会带来重大的诊断和治疗挑战,尤其是在老年患者中。我们报告一例72岁女性患者,她因突发胸痛就诊,被诊断为未破裂的右锁骨下动脉瘤并伴有部分血栓形成。包括胸部X线和增强CT扫描在内的先进影像学检查确诊了病情,并指导了成功的血管内修复,使患者病情稳定。后续护理包括定期临床评估和影像学检查,以监测动脉瘤状态并检测潜在并发症。该病例强调了早期放射学诊断和及时干预在锁骨下动脉瘤治疗中的关键作用,突出了血管内技术在此类病例中的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4225/11399569/a3db7794e320/gr1.jpg

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