Bole P V, Chander P, Chan Y S, Clauss R H
Ann Surg. 1975 Jun;181(6):888-92. doi: 10.1097/00000658-197506000-00023.
A patient was seen with symptomatic, rapidly expanding aneurysms that developed in both carotid arteries 4 years after bilateral radiation to the neck, left combined mandibular resection, and radical neck dissection. The presenting symptoms were pain and transient ischemic attacks of cerebrovascular insufficiency. The aneurysms were treated uneventfully be resection and vein-graft replacement at 15-day intervals. Microscopy demonstrated typical radiation changes. Effects of radiation on arteries are reviewed.
一名患者在颈部双侧放疗、左侧下颌骨联合切除及根治性颈清扫术后4年，双侧颈动脉出现有症状的、迅速扩大的动脉瘤。主要症状为疼痛和脑血管供血不足导致的短暂性脑缺血发作。动脉瘤通过手术切除并每隔15天进行静脉移植置换，治疗过程顺利。显微镜检查显示典型的放疗改变。本文回顾了放疗对动脉的影响。
