- 期刊
Giant Saphenous Vein Graft Aneurysm: A Rare Cause of Hilar Mass
移植之大隱靜脈血管瘤：罕見肺門腫瘤病例報告
摘要
在使用大隱靜脈移植的冠狀動脈繞道手術後，繼發之血管瘤屬罕見但可能致命。此病灶在胸部X光片看起來可像縱隔腔腫瘤。此靜脈瘤通常在術後10到20年形成，發生率不到1%。目前對無症狀血管瘤之處理仍無標準作法。傳統上，其被考慮為手術之適應症。本文中報告一例64歲男性，其在繞道手術後18年後發展出靜脈瘤，伴有胸痛及運動時氣促。此病人在接受數次手術切除及重新放置移植血管後成功治癒。
關鍵字
無資料並列摘要
Aneurysm formation of saphenous vein graft (SVG) after coronary artery bypass graft (CABG) surgery is rare but potentially fatal. This complication may mimic a mediastinal mass by plain film. The SVG aneurysm usually develops 10-20 years after the operation with the estimation of less than 1%. There is no consensus about the management of asymptomatic SVG aneurysm. Traditionally, it is considered an indication of operation. In this article, we report a 64-year-old man who developed a giant SVG aneurysm 18 years after CABG surgery. Angina pectoris and exertional dyspnea develop after years of asymptomatic periods. Finally, he was treated successfully by resection of aneurysm and placement of new bypass grafts.
延伸閱讀
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