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非创伤性(自发性)股浅动脉夹层:一例报告。

Non-traumatic (spontaneous) superficial femoral artery dissection: A case report.

作者信息

Cueto Rafael, Zuñiga Camilo, Afanador Ernesto

机构信息

Universidad del Norte - Hospital Universitario del Norte, Clínica General del Norte, Barranquilla, Colombia.

Clínica General del Norte, Universidad del Norte, Diagnóstico Maipú - Sociedad Argentina de Radiología, Hospital Puerta de Hierro de Majadahonda and CDITE (Centro de Diagnóstico y Terapia Endoluminal), Santa Cruz de Tenerife (Canarias), Barranquilla, Colombia.

出版信息

Radiol Case Rep. 2024 Jun 29;19(9):3922-3927. doi: 10.1016/j.radcr.2024.05.089. eCollection 2024 Sep.

Abstract

Non-traumatic or spontaneous dissection of the superficial femoral artery is an extremely rare entity, being more common in the external iliac artery in relation to intensive physical activity, pregnancy, among others. It has a variable clinical presentation. The diagnosis is made through angio-tomography (Angio-CT), angio-resonance (Angio-MR) and/or arteriography, the last one being diagnostic and therapeutic. The case of a 62-year-old female patient with a history of high blood pressure who consulted due to intense pain in the left lower limb is discussed. The diagnosis of dissection was made through arteriography and she underwent endovascular repair, showing favorable results.

摘要

股浅动脉非创伤性或自发性夹层是一种极其罕见的病症,相较于髂外动脉,在剧烈体育活动、妊娠等情况下更为常见。其临床表现多样。诊断通过血管断层扫描(血管CT)、血管磁共振成像(血管MR)和/或动脉造影进行,最后一种方法兼具诊断和治疗作用。本文讨论了一名62岁有高血压病史的女性患者,因左下肢剧痛前来就诊。通过动脉造影确诊为夹层,并接受了血管内修复,结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4af/11261272/2d71f98633d6/gr1.jpg

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