Shaban Mohammed, Budhathoki Pravash, Lee Somin, Bhatt Tanushree, Rodriguez Guerra Miguel A, Zaw May
Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York, USA.
Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.
Cureus. 2022 May 29;14(5):e25456. doi: 10.7759/cureus.25456. eCollection 2022 May.
The bovine aortic arch is a vascular variant related to an increased incidence of vascular and neurological complications. It should be ruled out in patients with vague neurological symptoms without a clear etiology. Our case is of a 72-year-old female patient who presented with a syncopal episode; the workup incidentally showed the aortic arch bovine variant with evidence of ischemic white matter disease more than expected for age. After reviewing the related literature, we suggest that this aortic variant is likely an independent risk factor for multiple vascular complications. A close follow-up is essential, and screening should be considered for symptomatic family members.
牛型主动脉弓是一种与血管和神经并发症发生率增加相关的血管变异。对于病因不明的模糊神经症状患者，应排除这种情况。我们的病例是一名72岁女性患者，她出现了一次晕厥发作；检查偶然发现牛型主动脉弓变异，并伴有缺血性白质病的证据，其程度超过了该年龄预期。在查阅相关文献后，我们认为这种主动脉变异可能是多种血管并发症的独立危险因素。密切随访至关重要，对于有症状的家庭成员应考虑进行筛查。
