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锁骨下静脉瓣膜肥大导致的上肢静脉阻塞。

Venous obstruction of the upper extremity caused by subclavian vein valve hypertrophy.

作者信息

Liao Jianyu, Wu Zhoupeng

机构信息

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2024 Oct 8;39(4). doi: 10.1093/icvts/ivae165.

Abstract

This case report detailed a rare case of upper limb venous outflow obstruction due to primary subclavian vein valve hypertrophy in a 26-year-old male. Misdiagnosed initially, the condition was identified through advanced Doppler ultrasound and Computed Tomography Venography (CTV) Endovascular treatment using Wallstent stents effectively resolved the obstruction, preserving collateral venous circulations. This case highlights the importance of combined colour Doppler ultrasonography for diagnosing unusual venous obstructions and demonstrates the potential of endovascular treatments in managing rare venous conditions.

摘要

本病例报告详细介绍了一名26岁男性因原发性锁骨下静脉瓣膜肥大导致上肢静脉流出道梗阻的罕见病例。该病例最初被误诊,后通过先进的多普勒超声和计算机断层静脉造影(CTV)得以确诊。使用Wallstent支架进行的血管内治疗有效解决了梗阻问题,保留了侧支静脉循环。本病例强调了彩色多普勒超声联合检查对诊断罕见静脉梗阻的重要性,并展示了血管内治疗在处理罕见静脉疾病方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3996/11648952/d0f04b9e98b2/ivae165f1.jpg

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