起搏器诱发的上腔静脉梗阻：经螺旋静脉移植治疗
Pacemaker induced superior vena cava obstruction: management by spiral vein graft.
作者信息
Odell J A, Keeton G R, Millar R N, Beningfield S J
机构信息
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
出版信息
Pacing Clin Electrophysiol. 1995 Apr;18(4 Pt 1):739-42. doi: 10.1111/j.1540-8159.1995.tb04672.x.
Abstract
A 35-year-old male developed superior vena cava (SVC) obstruction due to multiple retained pacemaker leads. This caused cyanosis and suffusion of the head and neck during arm exercise, with desaturation from 99%-90% demonstrated by ear oximetry. The SVC was bypassed using a spiral vein graft because of worsening symptoms. Dramatic improvement resulted, with desaturation no longer demonstrable.
摘要
一名35岁男性因多条起搏器导线残留导致上腔静脉（SVC）梗阻。这导致其在手臂运动时出现头颈部发绀和充血，经耳部血氧饱和度测定显示血氧饱和度从99%降至90%。由于症状恶化，遂采用螺旋静脉移植物对上腔静脉进行搭桥。结果症状显著改善，血氧饱和度不再下降。
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