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近期感染新冠病毒患者的急性主动脉覆膜支架血栓形成

Acute Aortic Stent Graft Thrombosis in Patient with Recent COVID-19 Infection.

作者信息

Marzano Antonio, Jabbour Jihad, Brizzi Vincenzo, Sbarigia Enrico, Cuozzo Simone

机构信息

Vascular Surgery Division, Department of Surgery "Paride Stefanini" Policlinico Umberto I, "La Sapienza" University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.

Vascular Surgery Department, Centre Hospitalier Universitaire de Bordeaux, 33404 Bordeaux, France.

出版信息

Reports (MDPI). 2024 Jan 12;7(1):4. doi: 10.3390/reports7010004.

Abstract

Although COVID-19 primarily affects the respiratory system, it can have various effects on other organs, including the cardiovascular system. COVID-19 can lead to a prothrombotic status, promoting blood clotting, which can potentially affect native vessels and implanted devices. The exact mechanisms through which it leads to increased clotting are not yet fully understood but may involve inflammation, endothelial dysfunction, and a hyperactive immune response. In the present report, we describe a case of acute aortic stent graft thrombosis four days after the resolution of SARS-CoV-2 infection. The patient required emergent explantation of the stent graft after the failure of endovascular bailout procedures.

摘要

虽然新冠病毒主要影响呼吸系统,但它可对包括心血管系统在内的其他器官产生多种影响。新冠病毒可导致血栓前状态,促进血液凝固,这可能会影响天然血管和植入装置。其导致凝血增加的确切机制尚未完全明确,但可能涉及炎症、内皮功能障碍和过度活跃的免疫反应。在本报告中,我们描述了1例在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染症状消退4天后发生急性主动脉覆膜支架血栓形成的病例。在血管内抢救程序失败后,患者需要紧急取出覆膜支架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e86/12225503/0e572892bd89/reports-07-00004-g001.jpg

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