三条动脉与内动脉卷曲并存的同时发生的后:一种独特的地形变异
Nektaria Karangeli1, George Triantafyllou1, Panagiotis Papadopoulos-Manolarakis1,2
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str., Goudi, 11527, Athens, Greece.
Surgical and radiologic anatomy : SRA
|October 21, 2025
概括
本案例报告详细介绍了一个极为罕见的例子,三个主要的动脉 (内动脉,外动脉和常见的动脉) 同时移动到后的空间,与内动脉卷轴一起. 这种解剖学变异对于外科手术规划至关重要,以防止阳性损伤.
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.
- 手术解剖学的手术解剖学
背景情况:
- 已知动脉系统的地形变化.
- 后位移通常涉及内动脉 (ICA),外动脉 (ECA) 或常见的动脉 (CCA) 的参与是罕见的.
- 同时多个动脉 (CA) 的移动是非常罕见的.
研究的目的:
- 报告一个独特的案例,多个动脉变异.
- 突出罕见的宫血管拓的临床意义.
- 强调识别这些变体对于手术和麻醉规划的重要性.
主要方法:
- 一个40岁的女性患者的案例研究.
- 计算机断层扫描血管造影 (CTA) 用于可视化血管解剖.
- 在宫区域分析不寻常的血管变异.
主要成果:
- 内部 Carotid 动脉 (ICAs) 和 ipsilateral 外侧 carotid 动脉 (ECA) 均被发现在后腔空间.
- 右侧的ICA显示在形过程附近的卷轴.
- 双侧大动脉分支扭曲,常见的大动脉 (CCA) 靠近甲状腺软骨.
- 动脉样硬化不存在,这表明是一种先天性变异.
结论:
- 这个案例呈现了第一个记录的三动脉后形配置与并发的ICA卷轴的例子.
- 这种极端的解剖学变异需要在手术和麻醉程序中仔细考虑.
- 识别这些罕见的宫血管地形对于预防严重出血等并发症至关重要.
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