自发性无名动脉和左颈总动脉夹层伴牛主动脉弓。

Spontaneous innominate and left common carotid artery dissection with bovine aortic arch.

作者信息

Ohki Satoshi, Obayashi Tamiyuki, Koyano Tetsuya, Yasuhara Kiyomitsu, Hirai Hanako, Hatori Kyouhei

机构信息

Department of Cardiovascular Surgery, Isesaki Municipal Hospital, 12-1 Tsunatori-honmachi, Isesaki, Gunma, 372-0812, Japan,

出版信息

Gen Thorac Cardiovasc Surg. 2014 Apr;62(4):238-40. doi: 10.1007/s11748-013-0253-1. Epub 2013 Apr 24.

DOI:10.1007/s11748-013-0253-1

PMID:23612923

Abstract

We describe a case of a 63-year-old woman who presented with spontaneous dissection of the innominate and left common carotid arteries arising from a common trunk, so-called "bovine aortic arch." The entry tear was seen in the common trunk at the origin of the innominate artery with no dissection extending into the aortic arch or the ascending aorta. The dissection was resected and total arch replacement was performed considering the aortic wall fragility complicated by the dissection.

摘要

我们描述了一例63岁女性患者，其无名动脉和左颈总动脉自一个共同主干发出，即所谓的“牛主动脉弓”，发生了自发性夹层。入口撕裂位于无名动脉起始处的共同主干，夹层未延伸至主动脉弓或升主动脉。考虑到夹层并发主动脉壁脆弱，切除了夹层并进行了全弓置换。