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首页> 外文期刊>Case Reports in Vascular Medicine >Giant Arteriovenous Malformation of the Neck
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Giant Arteriovenous Malformation of the Neck

机译：颈部巨大的动静脉畸形

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Arteriovenous malformations (AVM) have a wide range of clinical presentations. Operative bleeding is one of the most hazardous complications in the surgical management of high-flow vascular malformations. In the cervical region, the presence of vital vascular structures, such as the carotid artery and jugular vein, may increase this risk. This is a case of massive arteriovenous malformation deforming the neck and the face aspect of this aged lady and growing for several years. A giant mass of the left neck occupied the carotid region and the subclavian region. The AVM was developed between the carotid arteries, jugular veins, and vertebral and subclavian vessels, with arterial and venous flux. The patient underwent surgery twice for the cure of that AVM. The first step was the ligation of the external carotid. Seven days later, the excision of the mass was done. In postoperative period the patient presented a peripheral facial paralysis which completely decreased within 10 days. The first ligation of the external carotid reduces significantly the blood flow into the AVM. It permitted secondarily the complete ablation of the AVM without major bleeding even though multiple ligations were done.
机译：动静脉畸形（AVM）具有广泛的临床表现。手术出血是高流量血管畸形手术治疗中最危险的并发症之一。在宫颈区域，重要的血管结构（例如颈动脉和颈静脉）的存在可能会增加这种风险。这是一个严重的动静脉畸形，使该老年女士的颈部和面部变形并持续数年的情况。左颈巨大块占据了颈动脉区域和锁骨下区域。 AVM是在颈动脉，颈静脉，椎骨和锁骨下血管之间形成的，具有动静脉通量。该患者接受了两次手术以治愈该AVM。第一步是结扎颈外动脉。七天后，切除肿块。术后患者出现周围性面瘫，在10天内完全消失。颈外动脉的第一次结扎可显着减少流入AVM的血液。其次，即使进行了多次结扎，也可以完全消融AVM而无大出血。

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