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降主动脉假性动脉瘤:脐动脉插管的一种并发症。

False aneurysm of the descending aorta: a complication of umbilical artery catheterization.

作者信息

Spangler J G, Kleinberg F, Fulton R E, Barnhorst D A, Ritter D G

出版信息

Am J Dis Child. 1977 Nov;131(11):1258-9. doi: 10.1001/archpedi.1977.02120240076016.

DOI:10.1001/archpedi.1977.02120240076016
PMID:579073
Abstract

A patient had an aneurysm of the descending aorta secondary to aortitis arising from umbilical artery catheterization and in association with coarctation of the aorta. The aortitis probably was the direct result of bacterial contamination of the umbillicus and catheter with Staphylococcus aureus and the placement of the catheter tip just distal to a coarctation of the aorta. The patient required surgical resection of the coarctation and aneurysm of the descending aorta and placement of a tubular Dacron graft at 6 month of age. This is, to our knowledge, a hitherto unreported complication of umbilical artery catheterization.

摘要

一名患者因脐动脉插管引发主动脉炎继发降主动脉瘤,并伴有主动脉缩窄。主动脉炎可能是脐部和导管被金黄色葡萄球菌细菌污染以及导管尖端置于主动脉缩窄远端的直接结果。该患者在6个月大时需要对降主动脉缩窄和动脉瘤进行手术切除,并植入一段涤纶人工血管。据我们所知,这是脐动脉插管迄今为止尚未报道的一种并发症。

相似文献

1
False aneurysm of the descending aorta: a complication of umbilical artery catheterization.降主动脉假性动脉瘤:脐动脉插管的一种并发症。
Am J Dis Child. 1977 Nov;131(11):1258-9. doi: 10.1001/archpedi.1977.02120240076016.
2
Mycotic aortic aneurysms in children.
Ann Thorac Surg. 1984 Apr;37(4):314-8. doi: 10.1016/s0003-4975(10)60737-0.
3
[Aneurysm of the abdominal aorta in infants. Apropos of a case].[婴儿腹主动脉瘤。附一例报告]
J Radiol. 1984 Mar;65(3):201-5.
4
Umbilical artery catheterization complicated by mycotic aortic aneurysm in neonates.新生儿脐动脉插管并发霉菌性主动脉瘤
Adv Pediatr. 1980;27:275-318.
5
Pseudoaneurysm of the thoracic aorta: a late complication of umbilical artery catheterization.胸主动脉假性动脉瘤:脐动脉插管的晚期并发症。
Ann Thorac Surg. 1982 Aug;34(2):186-91. doi: 10.1016/s0003-4975(10)60882-x.
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Thoracoabdominal aortic aneurysm associated with umbilical artery catheterization: case report and review of the literature.与脐动脉插管相关的胸腹主动脉瘤:病例报告及文献复习
J Vasc Surg. 1992 Jul;16(1):75-86.
7
Neonatal radiology casebook. Umbilical artery catheter-associated aneurysm.新生儿放射学病例集。脐动脉导管相关动脉瘤。
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8
Aneurysms of the thoracic aorta complicating coarctation.合并主动脉缩窄的胸主动脉瘤
Circulation. 1973 Jul;48(1):195-201. doi: 10.1161/01.cir.48.1.195.
9
Mycotic aneurysm of the thoracic aorta as a late complication of umbilical artery catheterization. A case report.胸主动脉霉菌性动脉瘤作为脐动脉插管的晚期并发症:一例报告。
Scand J Thorac Cardiovasc Surg. 1986;20(2):179-82. doi: 10.3109/14017438609106499.
10
False abdominal aortic aneurysm: an unusual complication of umbilical arterial catheterization for exchange transfusion.假性腹主动脉瘤:换血疗法脐动脉插管的一种罕见并发症。
J Pediatr. 1977 Feb;90(2):285-6. doi: 10.1016/s0022-3476(77)80652-5.

引用本文的文献

1
Mycotic aortic aneurysm complicating isolated partial anomalous pulmonary venous drainage.霉菌性主动脉瘤并发孤立性部分性肺静脉异位引流。
Cardiovasc Dis. 1980 Dec;7(4):420-424.
2
Infantile aortic aneurysm complicating umbilical arterial catheterisation.婴儿主动脉瘤并发脐动脉插管术。
Arch Dis Child. 1981 Oct;56(10):795-7. doi: 10.1136/adc.56.10.795.
3
Experience with latrogenic pediatric vascular injuries. Incidence, etiology, management, and results.儿童医源性血管损伤的经验。发病率、病因、处理及结果。
Ann Surg. 1983 Oct;198(4):430-42. doi: 10.1097/00000658-198310000-00003.
4
Abdominal aortic aneurysm in a premature neonate with disseminated candidiasis: ultrasound and angiography.患有播散性念珠菌病的早产儿腹主动脉瘤:超声与血管造影
Pediatr Radiol. 1985;15(6):420-1. doi: 10.1007/BF02388367.
5
Aortic aneurysm secondary to umbilical artery catheterization.脐动脉插管继发主动脉瘤。
Pediatr Radiol. 1985;15(3):199-201. doi: 10.1007/BF02388613.
6
Acquired coarctation of the aorta.
Pediatr Cardiol. 1992 Jan;13(1):33-6. doi: 10.1007/BF00788227.