Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea

Degeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e desenvolve estenose ou oclusão do vaso. Apresentamos um caso de um paciente do sexo masculino, 45 anos, admitido na emergência hospitalar, que...

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Published inJornal vascular brasileiro Vol. 11; no. 2; pp. 144 - 149
Main Authors Nasser, Michel, Pivetta, Luca Giovanni Antonio, Teixeira Filho, José Luis, Rocha, Evelin Schueteze, Botta, Ana Eliza
Format Journal Article
LanguagePortuguese
Published Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 01.06.2012
Subjects
CARDIAC & CARDIOVASCULAR SYSTEMS
PERIPHERAL VASCULAR DISEASE
SURGERY
artéria poplítea
claudicação intermitente
cyst
cisto
intermittent claudication
popliteal artery
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Abstract Degeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e desenvolve estenose ou oclusão do vaso. Apresentamos um caso de um paciente do sexo masculino, 45 anos, admitido na emergência hospitalar, que apresentava quadro de isquemia aguda no membro inferior esquerdo. Submetido à EcoDoppler, angiorressonância magnética e angiografia pré-operatória. Realizada arterectomia com enxerto fêmoro-poplíteo infrainguinal de safena invertida. O exame patológico foi consistente com o diagnóstico de doença cística da artéria poplítea. O paciente encontra-se em acompanhamento ambulatorial e foi acometido pela doença cística no membro contralateral. Os autores descreveram os melhores métodos de diagnóstico e tratamento para a doença, discutindo se o procedimento de urgência foi o mais adequado e se haveria opções terapêuticas alternativas para o caso, além de qual seria a melhor conduta a ser realizada no membro contralateral também acometido pela doença.
AbstractList Degeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e desenvolve estenose ou oclusão do vaso. Apresentamos um caso de um paciente do sexo masculino, 45 anos, admitido na emergência hospitalar, que apresentava quadro de isquemia aguda no membro inferior esquerdo. Submetido à EcoDoppler, angiorressonância magnética e angiografia pré-operatória. Realizada arterectomia com enxerto fêmoro-poplíteo infrainguinal de safena invertida. O exame patológico foi consistente com o diagnóstico de doença cística da artéria poplítea. O paciente encontra-se em acompanhamento ambulatorial e foi acometido pela doença cística no membro contralateral. Os autores descreveram os melhores métodos de diagnóstico e tratamento para a doença, discutindo se o procedimento de urgência foi o mais adequado e se haveria opções terapêuticas alternativas para o caso, além de qual seria a melhor conduta a ser realizada no membro contralateral também acometido pela doença.
Author Nasser, Michel
Teixeira Filho, José Luis
Rocha, Evelin Schueteze
Botta, Ana Eliza
Pivetta, Luca Giovanni Antonio
AuthorAffiliation Universidade Federal de São Carlos
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  givenname: Michel
  surname: Nasser
  fullname: Nasser, Michel
  organization: Universidade Federal de São Carlos
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  givenname: Luca Giovanni Antonio
  surname: Pivetta
  fullname: Pivetta, Luca Giovanni Antonio
  organization: Universidade Federal de São Carlos
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  givenname: José Luis
  surname: Teixeira Filho
  fullname: Teixeira Filho, José Luis
  organization: Universidade Federal de São Carlos
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  givenname: Evelin Schueteze
  surname: Rocha
  fullname: Rocha, Evelin Schueteze
  organization: Universidade Federal de São Carlos
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  givenname: Ana Eliza
  surname: Botta
  fullname: Botta, Ana Eliza
  organization: Universidade Federal de São Carlos
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Issue 2
Keywords artéria poplítea
claudicação intermitente
cyst
cisto
intermittent claudication
popliteal artery
Language Portuguese
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Snippet Degeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e...
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SubjectTerms CARDIAC & CARDIOVASCULAR SYSTEMS
PERIPHERAL VASCULAR DISEASE
SURGERY
Title Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea
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