一名完全性矫正型法洛四联症患者的创伤性纵隔积血和血胸

Traumatic Hemomediastinum and Hemothorax in a Patient With Totally Corrected Tetralogy of Fallot.

作者信息

Matsumura Yuki, Inomata Sho, Yamaguchi Hikaru, Watanabe Masayuki, Ozaki Yuki, Muto Satoshi, Okabe Naoyuki, Shio Yutaka, Tsukada Yasuhiko, Suzuki Hiroyuki

机构信息

Department of Chest Surgery, Fukushima Medical University, Fukushima, Japan.

Department of Emergency and Critical Care Medicine, Fukushima Medical University, Fukushima, Japan.

出版信息

Ann Thorac Surg Short Rep. 2022 Nov 18;1(1):91-93. doi: 10.1016/j.atssr.2022.11.006. eCollection 2023 Mar.

DOI:10.1016/j.atssr.2022.11.006

PMID:39790544

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708281/

Abstract

An 18-year-old Japanese youth was transferred to our emergency department because of a traffic accident. He had a past history of total correction for tetralogy of Fallot as an infant. Chest computed tomography revealed hemomediastinum and hemothorax. In an emergency operation, massive bleeding from the mediastinum was observed. Bleeding arose from the torn Blalock-Taussig shunt and right subclavian artery. Hemostasis was achieved by clipping the shunt and suturing the subclavian artery. This is a rare case of a patient with hemomediastinum caused by torn Blalock-Taussig shunt after a high-impact accident who survived it by operation.

摘要

一名18岁的日本青年因交通事故被转送至我院急诊科。他婴儿期曾接受法洛四联症的根治手术。胸部计算机断层扫描显示纵隔积血和血胸。在急诊手术中，发现纵隔大量出血。出血源自撕裂的布莱洛克-陶西格分流术和右锁骨下动脉。通过夹闭分流术和缝合锁骨下动脉实现了止血。这是一例罕见的因高冲击力事故导致布莱洛克-陶西格分流术撕裂引起纵隔积血的患者，经手术存活的病例。