主動脈剝離併發下肢腔室症候群及缺血性脊髓與神經根病變：病例報告

Lower-leg Compartment Syndrome and Ischemic Spinal Cord with Lumbosacral Plexopathy after Aortic Dissection: A Case Report

侯文萱(Wen-Hsuan Hou) ； 梁蕙雯(Huey-Wen Liang) ； 王顏和(Yen-Ho Wang) ； 林芳郁(Fang-Yue Lin)

《台灣復健醫學雜誌》 32卷3期 (2004/09) Pp. 163-169

https://doi.org/10.6315/2004.32(3)08

摘要

主動脈瓣膜置換術是治療嚴重心臟瓣膜疾病的常用手術，其併發症包括心肌梗塞、血栓、出血、心肌內膜炎、主動脈剝離、人工瓣膜裂開或失去功能。回顧文獻，主動脈瓣膜置換術後併發主動脈剝離而造成缺血性脊髓及周邊神經病變雖曾被提及，但並沒有報告同時發生缺血性脊髓及周邊神經病變及下肢腔室症候群的病例。本研究報告一位五十七歲男性，於主動脈瓣膜置換術後同時併發罕見的左小腿腔室症候群及缺血性脊髓與神經根病變，來瞭解其臨床表現與復健過程，並討論適當的處理，以減少其長期的功能障礙。

關鍵字

主動脈瓣膜置換術 ； 主動脈剝離 ； 腔室症候群 ； 缺血性脊髓病變

並列摘要

Aortic valve replacement (AVR) is a common surgical procedure to treat severe valvular heart disease. Major complications of AVR include perioperative myocardial infarction, thromboemboli, hemorrhage, prosthetic endocarditis, aortic dissection, prosthetic dehiscence, and prosthetic dysfunction. Ischemic myeloradiculopathy due to aortic dissection after AVR is another complication documented in the medical literature, but the combination of lower-extremity compartment syndrome and ischemic myeloradiculopathy is rarely reported. We describe the clinical course and recovery of a 57-year-old man with this unusual combination and discuss the proper management to reduce long-term disability.

並列關鍵字

Aortic valve replacement ； aortic dissection ； compartment syndrome ； ischemic myelopathy