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Multiple spontaneous isolated arterial dissections: a rare case report.

Rebecca Hvidt Tuffley1, Abbas Ali Qayyum1,2

  • 1Department of Cardiology, Hvidovre Hospital, University of Copenhagen Copenhagen, Denmark.

American Journal of Translational Research
|February 7, 2024
PubMed
Summary
This summary is machine-generated.

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This case report details a rare instance of four spontaneous arterial dissections, including the aorta, carotid arteries, and mesenteric artery. It highlights the importance of thorough investigation in patients with multiple independent arterial dissections.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Cardiology

Background:

  • Spontaneous arterial dissections are uncommon, presenting a wide spectrum of clinical outcomes.
  • This report focuses on a patient with a history of bilateral internal carotid artery dissections.

Observation:

  • A routine thoracic computed tomography (CT) scan identified a type B aortic dissection.
  • The patient was asymptomatic but had medically treated hypertension.
  • Further imaging revealed an additional spontaneous isolated dissection of the superior mesenteric artery.

Findings:

  • The patient presented with four distinct spontaneous arterial dissections: type B aortic dissection, bilateral internal carotid artery dissections, and a superior mesenteric artery dissection.
  • The type B aortic dissection was chronic and stable, requiring no immediate intervention.
Keywords:
Dissectioninternal carotid artery dissectionmultiple artery dissectionsspontaneous dissectionsuperior mesenteric artery dissectiontype B aortic dissection

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  • No progression of the dissections was noted over a 10-day follow-up period.

    • Implications:

    • This case underscores the necessity for comprehensive diagnostic evaluations in patients presenting with multiple, independent arterial dissections.
    • It emphasizes careful consideration of further examinations to rule out additional dissections in such rare scenarios.
    • The findings contribute to understanding the complex nature of spontaneous arterial dissection syndromes.