Ballard J L, Bunt T J, Fitzpatrick B, Malone J M
Maricopa Medical Center, Department of Surgery, Phoenix, AZ 85010.
J Vasc Surg. 1992 Feb;15(2):431-5.
Bilateral internal carotid artery dissections after blunt cervicofacial trauma are rare, with 16 cases being previously published. Management is presumed to be an extension of the dominant therapy for unilateral dissection, that being anticoagulant therapy; however, bilateral stenoses engender questions of threat to total cerebral blood flow. We herein present a patient who suffered bilateral type B dissections and who then had progression of the process on anticoagulant therapy, resulting in an unusual carotid reconstruction.
钝性颌面创伤后双侧颈内动脉夹层分离很少见，此前仅有16例病例报道。其治疗一般被认为是单侧夹层分离主要治疗方法（即抗凝治疗）的扩展；然而，双侧狭窄引发了对全脑血流威胁的问题。我们在此报告一例双侧B型夹层分离患者，该患者在接受抗凝治疗后病情进展，最终进行了罕见的颈动脉重建手术。
