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[左椎动脉自主动脉弓异常起源导致锁骨下动脉盗血综合征的形成]

[Formation of vertebral-subclavian steal syndrome in abnormal origin of the left vertebral artery from the aortic ark].

作者信息

Kirsanov R I, Kulikov V P, Arzamastsev D D, Subbotin Iu G

出版信息

Angiol Sosud Khir. 2011;17(2):124-7.

PMID:21983471
Abstract

Presented herein is a clinical case report concerning the formation of vertebral-subclavian steal syndrome combined with occlusion of the left subclavian artery and an abnormal origin of the left vertebral artery from the aortic arch. Duplex scanning data and angiography findings showed that the collateral compensation of haemocirculation in the upper extremity took place through the subclavian-vertebral collateral net. Doppler ultrasonography signs of the latent steal syndrome were revealed in the intracranial segment of the left vertebral artery and were confirmed by the findings of the reactive hyperthermia test. Balloon angioplasty with stenting of the 1st portion of the left subclavian artery resulted in normalization of the Doppler spectrum in the intracranial segment of the left vertebral artery.

摘要

本文呈现了一例关于椎动脉-锁骨下动脉盗血综合征形成的临床病例报告,该病例合并左锁骨下动脉闭塞以及左椎动脉起自主动脉弓异常。双功扫描数据和血管造影结果显示上肢血液循环的侧支代偿通过锁骨下-椎动脉侧支网络发生。在左椎动脉颅内段发现了潜在盗血综合征的多普勒超声征象,并通过反应性热疗试验结果得到证实。对左锁骨下动脉第一段进行球囊血管成形术并置入支架后,左椎动脉颅内段的多普勒频谱恢复正常。

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