Raby N, Giles J, Walters H
Department of Radiology, Dulwich Hospital, Denmark Hill, London.
Clin Radiol. 1990 Aug;42(2):116-7. doi: 10.1016/s0009-9260(05)82081-1.
Lower limb ischaemia as the only or main clinical manifestation of aortic dissection is a rare event. Two cases are presented where this occurred resulting in attempted embolectomy before the correct diagnosis was made. The diagnosis should be considered when embolectomy fails to retrieve thrombus and when angiography demonstrates spiral lucencies within the lumen of large vessels or non-filling of major vascular branches. The value of pre-operative angiography is emphasized.
下肢缺血作为主动脉夹层的唯一或主要临床表现是一种罕见事件。本文报告了两例此类病例，在作出正确诊断之前均尝试进行了栓子切除术。当栓子切除术未能取出血栓，且血管造影显示大血管腔内有螺旋状透亮区或主要血管分支未显影时，应考虑该诊断。强调了术前血管造影的价值。
