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一例与新冠病毒感染及溃疡性结肠炎相关的急性主动脉闭塞病例

A Case of Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis.

作者信息

Yagi Moeka, Kimura Naoyuki, Nakano Mitsunori, Okabe Naota, Shiraishi Manabu, Okamura Homare, Oshiro Hisashi, Yamaguchi Atsushi

机构信息

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.

Department of Pathology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama, Japan.

出版信息

Ann Vasc Dis. 2024 Sep 25;17(3):287-291. doi: 10.3400/avd.cr.24-00007. Epub 2024 Jun 1.

DOI:10.3400/avd.cr.24-00007
PMID:39359565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11444837/
Abstract

A 53-year-old woman visited her district hospital complaining of right lower limb numbness 8 days after being diagnosed with COVID-19. She had been suffering diarrhea for 25 days before the hospital visit. Computed tomography showed multiple arterial and venous thromboses, and anticoagulation with a therapeutic dose of heparin was initiated. Acute aortic occlusion occurred on hospital day 5, and balloon thromboembolectomy was performed for revascularization of the lower limbs 9 hours after onset. Ulcerative colitis was diagnosed on postoperative day 7. With the anticoagulation and immunosuppression therapy, no thromboembolic event occurred postoperatively.

摘要

一名53岁女性在被诊断为新冠肺炎8天后,因右下肢麻木前往当地医院就诊。在就诊前她已腹泻25天。计算机断层扫描显示多处动静脉血栓形成,遂开始给予治疗剂量的肝素进行抗凝治疗。住院第5天发生急性主动脉闭塞,发病9小时后进行了球囊血栓切除术以实现下肢血管再通。术后第7天诊断为溃疡性结肠炎。经过抗凝和免疫抑制治疗,术后未发生血栓栓塞事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/1ba4037a3934/avd-17-287-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/44c9f07c2676/avd-17-287-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/143591676c78/avd-17-287-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/1ba4037a3934/avd-17-287-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/44c9f07c2676/avd-17-287-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/143591676c78/avd-17-287-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f82/11444837/1ba4037a3934/avd-17-287-g003.jpg

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本文引用的文献

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Proc (Bayl Univ Med Cent). 2024 Feb 8;37(2):239-247. doi: 10.1080/08998280.2024.2303402. eCollection 2024.
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Abdominal aortic occlusion in the setting of Covid 19 infection: literature review and a case report.新型冠状病毒肺炎感染背景下的腹主动脉闭塞:文献综述与病例报告
J Surg Case Rep. 2023 Aug 8;2023(8):rjad400. doi: 10.1093/jscr/rjad400. eCollection 2023 Aug.
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Clinical Features Comparing Arterial Thrombosis and Venous Thromboembolism in Hospitalized Patients with COVID-19: Result from the CLOT-COVID Study.
新冠住院患者动脉血栓形成与静脉血栓栓塞的临床特征比较:CLOT-COVID研究结果
Ann Vasc Dis. 2023 Jun 25;16(2):115-123. doi: 10.3400/avd.oa.22-00112.
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Aortic thrombosis as a dramatic vascular complication in COVID-19 disease.COVID-19 疾病中的主动脉血栓形成:一种戏剧性的血管并发症。
J Med Vasc. 2022 Oct;47(4):169-174. doi: 10.1016/j.jdmv.2022.10.003. Epub 2022 Oct 11.
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Arterial Thrombotic Events in Hospitalized COVID-19 Patients: A Short Review and Meta-Analysis.COVID-19 住院患者的动脉血栓栓塞事件:简短综述和荟萃分析。
Semin Thromb Hemost. 2023 Feb;49(1):47-54. doi: 10.1055/s-0042-1749661. Epub 2022 Jul 6.
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EVAR Solution For Acutely Thrombosed Abdominal Aortic Aneurysm in a Patient with COVID-19.针对一名新冠肺炎患者急性血栓形成的腹主动脉瘤的腔内血管修复术解决方案
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Acute Limb Ischemia in a COVID-19 Patient: A Case Report.一名新冠病毒肺炎患者的急性肢体缺血:病例报告
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International consensus on the prevention of venous and arterial thrombotic events in patients with inflammatory bowel disease.国际炎症性肠病患者静脉和动脉血栓栓塞事件预防共识。
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