特发性左锁骨下动脉夹层

Idiopathic Left Subclavian Artery Dissection.

作者信息

Williams Samantha, Pagan Jaramillo Ana, Posch Marie-Louise, Prince Sean-Patrick A, Hamera Leonard

机构信息

Internal Medicine, HCA Healthcare/University of South Florida Morsani College of Medicine, GME Citrus Memorial Hospital, Inverness, USA.

出版信息

Cureus. 2020 Dec 18;12(12):e12151. doi: 10.7759/cureus.12151.

DOI:10.7759/cureus.12151

PMID:33489563

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813524/

Abstract

We present a case of a 65-year-old male admitted for a small bowel obstruction who was incidentally found to have a left subclavian artery dissection on computed tomography angiogram (CTA) of the aorta. Non-traumatic subclavian artery dissection (SAD) is rare and only a few cases have been published in the literature. In this report, we review previously reported clinical presentations, subsequent treatments, and discuss factors that impact the choice between surgical vs conservative management.

摘要

我们报告一例65岁男性，因小肠梗阻入院，在主动脉计算机断层血管造影（CTA）检查时意外发现左锁骨下动脉夹层。非创伤性锁骨下动脉夹层（SAD）很少见，文献中仅报道过少数病例。在本报告中，我们回顾先前报道的临床表现、后续治疗，并讨论影响手术治疗与保守治疗选择的因素。