Nelson Daniel W, Sauld Timothy, Djelmami-Hani Mohamed
Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin, USA.
Aurora Cardiovascular and Thoracic Services, Aurora Grafton Medical Center, Grafton, Wisconsin, USA.
Pacing Clin Electrophysiol. 2025 Aug;48(8):894-896. doi: 10.1111/pace.70009. Epub 2025 Jul 8.
Upper chest and shoulder varicosities, although uncommon compared with lower extremity varicosities, are a harbinger of venous obstruction and should expedite the use of contrast venography in patients undergoing cardiac device implantation. We present the first reported case, to our knowledge, of a patient having isolated left upper chest and shoulder varicosities prior to permanent pacemaker implantation.
与下肢静脉曲张相比,上肢胸部和肩部静脉曲张虽不常见,但却是静脉阻塞的先兆,对于接受心脏装置植入的患者,应尽快进行静脉造影检查。据我们所知,我们报告了首例在永久起搏器植入术前出现孤立性左上胸部和肩部静脉曲张的患者。