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Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar

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Resumo:OBJECTIVE: Venous aneurysms of the lower limbs are rare. When they involve the deep venous system, they can be associated with deep venous thrombosis and pulmonary embolism. The authors report the case of a 63-year-old women evaluated by duplex imaging and venography, in the context of a pulmonary embolism, and detected bilateral large aneurysms of the femoral veins (5 cm in the right femoral vein and 4 cm in the left femoral vein). The aneurysms were located at the bifurcation of the common femoral vein with the superficial and profound veins. METHOD: The right aneurysm was partially thrombosed. The patient was asymptomatic in the lower-limb extremities. After a period of anticoagulation, the authors proceeded to surgically excise the right aneurysm and replaced the venous system using a polytetrafluoroethylene (PTFE) graft with the construction of an a-v fistula. RESULT: The patient had no complications in the postoperative period and her 8-month follow-up examination revealed no symptoms, not even leg edema. The duplex scan showed patency of the graft. She continued with oral anticoagulation. The histologic examination revealed an eosinophilic inflammatory reaction of the vein wall, compatible with the diagnosis of Churg-Strauss syndrome. CONCLUSION: The authors conclude that they have probably described the first case in the international literature of a venous aneurysm with a Churg-Strauss syndrome and pulmonary embolism.
Autores principais:Meireles, N
Outros Autores:Ferreira, E; Silva Castro, J; Amaral, C; Sobrinho, G; Franca, T; Albino, JP; Carvalho, CS
Assunto:Aneurisma Síndrome de Churg-Strauss Mulher Veia Femoral Embolia Pulmonar HSM CIR VASC HSM ANPAT
Ano:2003
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Centro Hospitalar de Lisboa Central, EPE (CHLC)
Idioma:português
Origem:Repositório do Centro Hospitalar de Lisboa Central, EPE
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author Meireles, N
author2 Ferreira, E
Silva Castro, J
Amaral, C
Sobrinho, G
Franca, T
Albino, JP
Carvalho, CS
author2_role author
author
author
author
author
author
author
author_facet Meireles, N
Ferreira, E
Silva Castro, J
Amaral, C
Sobrinho, G
Franca, T
Albino, JP
Carvalho, CS
author_role author
contributor_name_str_mv Repositório da Unidade Local de Saúde São José
country_str PT
creators_json_txt [{\"Person.name\":\"Meireles, N\"},{\"Person.name\":\"Ferreira, E\"},{\"Person.name\":\"Silva Castro, J\"},{\"Person.name\":\"Amaral, C\"},{\"Person.name\":\"Sobrinho, G\"},{\"Person.name\":\"Franca, T\"},{\"Person.name\":\"Albino, JP\"},{\"Person.name\":\"Carvalho, CS\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório da Unidade Local de Saúde São José
datacite.creators.creator.creatorName.fl_str_mv Meireles, N
Ferreira, E
Silva Castro, J
Amaral, C
Sobrinho, G
Franca, T
Albino, JP
Carvalho, CS
datacite.date.Accepted.fl_str_mv 2003-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2011-06-28T15:57:22Z
datacite.date.embargoed.fl_str_mv 2011-06-28T15:57:22Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
datacite.titles.title.fl_str_mv Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
Churg-Strauss Syndrome, Femoral Venous Aneurysms and Pulmonary Thromboembolism
dc.contributor.none.fl_str_mv Repositório da Unidade Local de Saúde São José
dc.creator.none.fl_str_mv Meireles, N
Ferreira, E
Silva Castro, J
Amaral, C
Sobrinho, G
Franca, T
Albino, JP
Carvalho, CS
dc.date.Accepted.fl_str_mv 2003-01-01T00:00:00Z
dc.date.available.fl_str_mv 2011-06-28T15:57:22Z
dc.date.embargoed.fl_str_mv 2011-06-28T15:57:22Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.17/288
dc.language.none.fl_str_mv por
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
dc.title.fl_str_mv Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
Churg-Strauss Syndrome, Femoral Venous Aneurysms and Pulmonary Thromboembolism
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description OBJECTIVE: Venous aneurysms of the lower limbs are rare. When they involve the deep venous system, they can be associated with deep venous thrombosis and pulmonary embolism. The authors report the case of a 63-year-old women evaluated by duplex imaging and venography, in the context of a pulmonary embolism, and detected bilateral large aneurysms of the femoral veins (5 cm in the right femoral vein and 4 cm in the left femoral vein). The aneurysms were located at the bifurcation of the common femoral vein with the superficial and profound veins. METHOD: The right aneurysm was partially thrombosed. The patient was asymptomatic in the lower-limb extremities. After a period of anticoagulation, the authors proceeded to surgically excise the right aneurysm and replaced the venous system using a polytetrafluoroethylene (PTFE) graft with the construction of an a-v fistula. RESULT: The patient had no complications in the postoperative period and her 8-month follow-up examination revealed no symptoms, not even leg edema. The duplex scan showed patency of the graft. She continued with oral anticoagulation. The histologic examination revealed an eosinophilic inflammatory reaction of the vein wall, compatible with the diagnosis of Churg-Strauss syndrome. CONCLUSION: The authors conclude that they have probably described the first case in the international literature of a venous aneurysm with a Churg-Strauss syndrome and pulmonary embolism.
dirty 0
eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://repositorio.chlc.pt/bitstreams/4143176d-5958-4369-b196-c76492c6dc60/download
id rchlc_eefd400a328ad4e614c7ee9439eca23c
identifier.url.fl_str_mv http://hdl.handle.net/10400.17/288
instacron_str chlc
institution Centro Hospitalar de Lisboa Central, EPE (CHLC)
instname_str Centro Hospitalar de Lisboa Central, EPE (CHLC)
language por
network_acronym_str rchlc
network_name_str Repositório do Centro Hospitalar de Lisboa Central, EPE
oai_identifier_str oai:repositorio.chlc.pt:10400.17/288
organization_str_mv urn:organizationAcronym:chlc
person_str_mv Meireles, N
Ferreira, E
Silva Castro, J
Amaral, C
Sobrinho, G
Franca, T
Albino, JP
Carvalho, CS
publishDate 2003
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
reponame_str Repositório do Centro Hospitalar de Lisboa Central, EPE
repository_id_str urn:repositoryAcronym:rchlc
service_str_mv urn:repositoryAcronym:rchlc
spelling porSociedade Portuguesa de Cirurgia Cardio-Torácica e VascularporOBJECTIVE: Venous aneurysms of the lower limbs are rare. When they involve the deep venous system, they can be associated with deep venous thrombosis and pulmonary embolism. The authors report the case of a 63-year-old women evaluated by duplex imaging and venography, in the context of a pulmonary embolism, and detected bilateral large aneurysms of the femoral veins (5 cm in the right femoral vein and 4 cm in the left femoral vein). The aneurysms were located at the bifurcation of the common femoral vein with the superficial and profound veins. METHOD: The right aneurysm was partially thrombosed. The patient was asymptomatic in the lower-limb extremities. After a period of anticoagulation, the authors proceeded to surgically excise the right aneurysm and replaced the venous system using a polytetrafluoroethylene (PTFE) graft with the construction of an a-v fistula. RESULT: The patient had no complications in the postoperative period and her 8-month follow-up examination revealed no symptoms, not even leg edema. The duplex scan showed patency of the graft. She continued with oral anticoagulation. The histologic examination revealed an eosinophilic inflammatory reaction of the vein wall, compatible with the diagnosis of Churg-Strauss syndrome. CONCLUSION: The authors conclude that they have probably described the first case in the international literature of a venous aneurysm with a Churg-Strauss syndrome and pulmonary embolism.application/pdfporSíndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo PulmonarAlternativeTitleporChurg-Strauss Syndrome, Femoral Venous Aneurysms and Pulmonary ThromboembolismMeireles, NFerreira, ESilva Castro, JAmaral, CSobrinho, GFranca, TAlbino, JPCarvalho, CSHostingInstitutionOrganizationalRepositório da Unidade Local de Saúde São Josée-mailmailto:repositorio@ulssjose.min-saude.ptrepositorio@ulssjose.min-saude.pt2011-06-28T15:57:22Z20032003-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.17/288http://purl.org/coar/access_right/c_abf2open accessAneurismaSíndrome de Churg-StraussMulherVeia FemoralEmbolia PulmonarHSM CIR VASCHSM ANPAT289105 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.chlc.pt/bitstreams/4143176d-5958-4369-b196-c76492c6dc60/downloadRevista Portuguesa de Cirurgia Cardio-Torácica e Vascular147151
spellingShingle Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
Meireles, N
Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
status SINGLETON
subject.fl_str_mv Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
title Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
title_full Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
title_fullStr Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
title_full_unstemmed Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
title_short Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
title_sort Síndrome de Churg-Strauss, Aneurismas Femorais Venosos e Tromboembolismo Pulmonar
topic Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
topic_facet Aneurisma
Síndrome de Churg-Strauss
Mulher
Veia Femoral
Embolia Pulmonar
HSM CIR VASC
HSM ANPAT
url http://hdl.handle.net/10400.17/288
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