心脏肌瘤栓塞导致的进行性急性下肢缺血:病例报告。

Vascular and endovascular surgery Pub Date : 2025-01-01 Epub Date: 2024-09-03 DOI:10.1177/15385744241279653
Pablo M Boada-Sandoval, Héctor Bizueto-Rosas, Luis E Martínez-Bravo
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引用次数: 0

摘要

心肌瘤是最常见的心脏原发性良性肿瘤。肿瘤栓子堵塞外周动脉和完全阻塞腹主动脉时会出现不同的临床表现。在此,我们提供了一例 38 岁男性患者的病例,患者出现急性麻痹、肌无力、红斑和皮肤颜色剧烈变化,局部位于左前足背,最初被当作皮肤血管炎治疗。进一步检查发现,腹主动脉末端因心脏肌瘤鞍状栓塞而完全闭塞。由心胸外科医生和血管外科医生组成的多学科团队参与了对患者的治疗,最终完全治愈了该病例。本文详细介绍了鞍状栓子完全堵塞末端腹主动脉导致急性双侧肢体缺血发展为慢性肢体缺血的过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Progressive Acute Lower Extremity Ischemia Resulting From Cardiac Myxoma Embolization: A Case Report.

Cardiac myxomas are the most common primary benign tumors of the heart. The occlusion of peripheral arteries and complete obstruction of the abdominal aorta by a tumor embolus presents with distinct clinical manifestations. Herein, we present the case of a 38-year-old male with acute paresthesia, muscle weakness, erythematous, and violaceous changes in skin color localized to the dorsum of the left forefoot initially treated as cutaneous vasculitis. Further studies revealed the total occlusion of the terminal abdominal aorta by a saddle embolus from a cardiac myxoma. A multidisciplinary team consisting of cardiothoracic and vascular surgeons were involved in treating the patient, which resulted in full resolution of the case. This paper details the progression of acute bilateral limb ischemia to chronic limb threatening ischemia resulting from the total occlusion of the terminal abdominal aorta by a saddle embolus.

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