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病例报告:接受冠状动脉手术患者的帕克斯-韦伯综合征

Case Report: The Parkes-Weber syndrome in the patient who underwent coronary surgery.

作者信息

Milosevic Nemanja, Okiljevic Bogdan, Micovic Slobodan, Bojic Milovan, Zivkovic Igor

机构信息

Cardiac Surgery Clinic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Front Cardiovasc Med. 2025 Jul 15;12:1479811. doi: 10.3389/fcvm.2025.1479811. eCollection 2025.

Abstract

Parkes-Weber Syndrome is a rare congenital vascular abnormality characterized by aneurismatic illness of blood arteries in the afflicted limb, as well as hypertrophy, ulceration, ischemia, and high-output heart failure. Imaging investigations are required to provide a diagnosis, with contrast arteriography being the gold standard. The majority of treatment options are endovascular, with surgical excision for arteriovenous malformations and limb amputation as alternatives. We describe a 73-year-old male patient with mainly asymptomatic PWS, coronary disease, and borderline EF (45%) who had CABG surgery. In individuals with established CAD and other cardiac disorders, it is critical to identify additional diseases or syndromes that might have a compounding effect on the heart, such as PWS and high-output heart failure.

摘要

帕克斯 - 韦伯综合征是一种罕见的先天性血管异常,其特征为患肢血管出现动脉瘤样病变,同时伴有肢体肥大、溃疡、缺血以及高输出量心力衰竭。需要进行影像学检查以作出诊断,其中造影动脉造影是金标准。大多数治疗选择为血管内治疗,动静脉畸形的手术切除和肢体截肢为替代方案。我们描述了一名73岁男性患者,患有主要无症状的帕克斯 - 韦伯综合征、冠心病且射血分数处于临界值(45%),该患者接受了冠状动脉旁路移植术(CABG)手术。对于已确诊患有冠心病和其他心脏疾病的个体,识别可能对心脏产生复合影响的其他疾病或综合征至关重要,例如帕克斯 - 韦伯综合征和高输出量心力衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402b/12303869/71475cf86798/fcvm-12-1479811-g001.jpg

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