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姑息性主肺动脉分流术中的肺栓塞

Pulmonary Embolism in a Palliative Aortopulmonary Shunt.

作者信息

Binder M Scott, Binder Isabel E, Gay William M, Habib Asma

机构信息

Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, Roanoke, Virginia, USA.

Division of Echocardiography, Virginia Tech Carilion Roanoke Memorial Hospital, Roanoke, Virginia, USA.

出版信息

JACC Case Rep. 2025 Jan 15;30(2):102768. doi: 10.1016/j.jaccas.2024.102768.

Abstract

A 44-year-old man with a history of tricuspid atresia and discontinuous pulmonary arteries with palliative correction from a Waterston procedure and a modified central shunt presented with back pain, fevers, dyspnea, and cough. Treatment for pneumonia was unsuccessful. On computed tomography angiography he was found to have a subacute pulmonary embolism, potentially iatrogenic.

摘要

一名44岁男性,有三尖瓣闭锁和肺动脉中断病史,曾接受Waterston手术和改良中央分流术进行姑息性矫正,现出现背痛、发热、呼吸困难和咳嗽症状。肺炎治疗未成功。在计算机断层扫描血管造影检查中,发现他患有亚急性肺栓塞,可能为医源性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/655a/11775784/86ece456ab9a/ga1.jpg

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