Wyatt D A, Kellum C D, Joob A W, Daniel T M
J Vasc Surg. 1986 Aug;4(2):196-8. doi: 10.1067/mva.1986.avs0040196.
A patient who had sustained blunt trauma of the chest was admitted for evaluation and treatment. A thoracic aortogram was obtained to exclude mediastinal vascular injury, and an incomplete intimal disruption of the proximal left vertebral artery was found. Transient visual disturbances developed after admission, and the patient was treated by operation and vein patch angioplasty. He recovered without additional neurologic symptoms. The vertebral artery can be divided descriptively into four sections, and each section is commonly associated with particular types of injuries. This is the first reported case of an isolated injury to the proximal extraosseous portion of the vertebral artery caused by distant blunt trauma.
一名胸部遭受钝性创伤的患者入院接受评估和治疗。进行了胸部主动脉造影以排除纵隔血管损伤，结果发现左椎动脉近端内膜有不完全撕裂。入院后出现短暂性视觉障碍，患者接受了手术和静脉补片血管成形术治疗。他康复后未出现其他神经症状。椎动脉在解剖学上可分为四段，每段通常与特定类型的损伤相关。这是首例因远距离钝性创伤导致椎动脉近端骨外部分孤立性损伤的报道病例。
