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镰状细胞贫血患者的颈外静脉假性动脉瘤

External jugular vein pseudoaneurysm in a case of sickle cell anemia.

作者信息

Parikh Aalay, Patel Kartik, Patel Herin, Thakut Gowtham

机构信息

Department of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat 380016 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2025 May;41(5):620-622. doi: 10.1007/s12055-024-01876-6. Epub 2024 Dec 18.

DOI:10.1007/s12055-024-01876-6
PMID:40247971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11999911/
Abstract

Aneurysm and pseudoaneurysm of venous system are uncommon. Their association with external jugular vein (EJV) is relatively rare. There is no reported case of association of EJV aneurysm in a patient with sickle cell anemia. Small aneurysm/pseudoaneurysm, if asymptomatic, are managed conservatively. However, if large or thrombosed, surgical excision is the treatment of choice. Their association with sickle cell anemia makes it a challenge not only for the surgeon, but also for the anesthetist, and requires a planned and disciplinary approach.

摘要

静脉系统的动脉瘤和假性动脉瘤并不常见。它们与颈外静脉（EJV）相关相对罕见。尚无镰状细胞贫血患者发生EJV动脉瘤相关的病例报道。小型动脉瘤/假性动脉瘤若无症状，采取保守治疗。然而，若动脉瘤较大或已形成血栓，则选择手术切除。它们与镰状细胞贫血的关联不仅给外科医生带来挑战，也给麻醉医生带来挑战，需要有计划且严谨的方法。

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本文引用的文献

1
External Jugular Venous Aneurysm: A Case Report.颈外静脉动脉瘤：一例报告
Plast Reconstr Surg Glob Open. 2022 Oct 24;10(10):e4617. doi: 10.1097/GOX.0000000000004617. eCollection 2022 Oct.
2
Management of external jugular vein aneurysm: a systematic review.颈外静脉动脉瘤的管理：一项系统评价。
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Spontaneous external jugular vein pseudoaneurysm treated by thrombin injection: Case report and literature review.经凝血酶注射治疗的自发性颈外静脉假性动脉瘤：病例报告及文献综述
J Clin Ultrasound. 2020 Jun;48(5):294-297. doi: 10.1002/jcu.22816. Epub 2020 Jan 25.
4
A case report of a rare, spontaneous external jugular vein aneurysm.一例罕见的自发性颈外静脉动脉瘤病例报告。
Int J Surg Case Rep. 2018;52:8-10. doi: 10.1016/j.ijscr.2018.09.008. Epub 2018 Sep 14.
5
Perioperative Management of Sickle Cell Disease.镰状细胞病的围手术期管理
Mediterr J Hematol Infect Dis. 2018 May 1;10(1):e2018032. doi: 10.4084/MJHID.2018.032. eCollection 2018.
6
Hydroxyurea therapy for sickle cell anemia.羟基脲治疗镰状细胞贫血
Expert Opin Drug Saf. 2015;14(11):1749-58. doi: 10.1517/14740338.2015.1088827. Epub 2015 Sep 14.
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Acquired jugular vein aneurysm.后天性颈静脉瘤
Int J Otolaryngol. 2009;2009:535617. doi: 10.1155/2009/535617. Epub 2009 Feb 25.
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Sickle hemoglobin (HbS) allele and sickle cell disease: a HuGE review.镰状血红蛋白（HbS）等位基因与镰状细胞病：一项HuGE综述
Am J Epidemiol. 2000 May 1;151(9):839-45. doi: 10.1093/oxfordjournals.aje.a010288.
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Intracranial aneurysms in sickle-cell anemia: clinical features and pathogenesis.镰状细胞贫血中的颅内动脉瘤：临床特征与发病机制
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