内动脉剖析动脉瘤与持续的三角动脉相关:一个案例报告
Chunqing Bu1, Xiaomin Liu1, Yanfeng Zhang1
1Department of Radiology, Liaocheng People's Hospital and Liaocheng Clinical School of Shandong First Medical University, Liaocheng, Shandong Province 252000, China.
Current medical imaging
|February 23, 2024
概括
内动脉 (ICA) 剖析动脉瘤的罕见病例与持续的三角动脉 (PTA) 相关,突出了识别这种血管变异的重要性. 了解这种关联对于有效的临床管理和干预程序至关重要.
科学领域:
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
- 干预性神经放射学 干预性神经放射学
背景情况:
- 持久性三动脉 (PTA) 是最常见的动脉 - 脊椎骨底动脉.
- 内动脉剖析动脉瘤 (ICA) 是一种罕见的血管事件.
- 这个病例呈现了剖析ICA动脉瘤和ipsilateral PTA之间的独特关联.
研究的目的:
- 报告一种罕见的右侧内动脉 (ICA) 中剖析动脉瘤的罕见病例,与一条异侧持续的三角动脉 (PTA) 相关.
- 讨论这种罕见的血管组合对患者管理的临床意义和潜在影响.
主要方法:
- 一名38岁的男性患有急性脑梗塞,接受了详细的神经成像.
- 3D TOF MRA确定了严重的ICA狭窄和一个PTA.
- 高分辨率的血管壁MRI和DSA证实了ICA的剖析动脉瘤.
主要成果:
- 这位患者出现了失水症和脑梗塞.
- 图像检测显示,在石性ICA和相关的PTA中存在剖析性动脉瘤.
- 保守治疗导致动脉瘤解脱,并在四个月内改善了血液流动.
结论:
- 由于PTA引起的流量变化可能导致ICA剖析形成.
- 认识到这种关联对于指导治疗策略和干预方法至关重要.
- 这一案例强调了在临床实践中考虑罕见的血管变异的重要性.
相关概念视频
The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
Arteries of the Head and Neck
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...


