脊柱动脉囊性冒险性疾病:一个不常见的音的原因
Farah Farooq Shakir1, Surenth Nalliah1, Muhanad Al-Hashimi1
1Department of Radiology, Aalborg University Hospital, Aalborg, Denmark.
Radiology case reports
|October 10, 2025
概括
囊性偶然性疾病是一种罕见的血管疾病,在活跃的男性中引起腿部疼痛. 通过手术切除尾动脉囊,症状得到缓解,证明了对这种不常见的疾病的有效治疗方法.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 案例报告 案例报告
背景情况:
- 囊性偶然性疾病 (CAD) 是一种罕见的非动脉样性疾病,影响中等大小的动脉.
- 它通常在活跃的个体中呈现为间歇性音,通常没有传统的心血管风险因素.
- 脊柱动脉是CAD最常见的部位.
研究的目的:
- 报告一个囊性冒险性动脉病例.
- 突出诊断挑战和成像发现.
- 为了说明成功的手术管理和结果.
主要方法:
- 评估了一名50岁的男性,他有两年的炼性腿部疼痛病史.
- 诊断工具包括临床检查,多普勒式跑步机测试,超声波和MRI.
- 手术干预涉及囊切除和动脉重建,通过逆向沙芬静脉移植.
主要成果:
- 影像检查证实了囊性病变包围右尾动脉.
- 运动后的脚压力显著下降,表明动脉受损.
- 手术治疗导致症状完全消失,并在6个月的随访中保持了移植通透性.
结论:
- 囊性偶然性疾病应考虑在炼性腿部疼痛的差异诊断中,特别是在没有血管风险因素的活跃患者中.
- 通过成像进行早期和准确的诊断至关重要.
- 手术管理提供了一个明确和有效的治疗选择,具有有利的长期结果.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
358
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
358
Peripheral Artery Disease I: Introduction
313
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
313
Peripheral Artery Disease III: Interprofessional Care
242
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
242
Arteries of Lower Limbs
4.2K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
4.2K
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
465
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
465
Peripheral Artery Disease IV: Nursing Management
349
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
349


