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双边胸部脏动脉在一个29岁的,正在对右侧前质量进行评估的女性
Armaan Shah1, Joe Khoury1, Daniel Putterman1
1Northwell Health, New Hyde Park, New York, 11040.
Radiology case reports
|September 11, 2025
概括
双边胸部脏动脉 (TRAs) 是一种罕见的血管异常,在接受活检的患者身上偶然发现. 这一案例凸显了识别这种罕见变异的重要性,以防止手术并发症.
科学领域:
- 血管解剖学 血管解剖学
- 放射学 放射学是一门学科.
- 胚胎学 胚胎学
背景情况:
- 胸部动脉 (TRAs) 是一种罕见的血管异常,其中动脉起源于胸部大动脉.
- 它们通常是单边的,右侧的变体,发生在不到0.1%的人口中.
研究的目的:
- 报告一种罕见的双侧胸部脏动脉病例.
- 强调在手术规划和干预程序中识别这种异常的临床意义.
主要方法:
- 一名29岁的女性患有逆质,接受了对比度增强的CT,用于程序前的规划.
- 横截面成像巧合地揭示了双边胸部脏动脉.
主要成果:
- 患者呈现出主导的右侧TRA,起源于T12处的大动脉.
- 一个较小的辅助左TRA起源于T11的大动脉,在L2.2有一个典型的左动脉.
- 双边胸部动脉的起源是非常罕见的.
结论:
- 双边TRA的存在非常罕见,需要仔细考虑.
- 高水平的动脉起源增加了 retroperitoneal 程序期间阳性损伤的风险.
- 对干预性放射科医生和血管外科医生来说,仔细的成像审查至关重要,以避免并发症.
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