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活动期 COVID-19 患者的自发性右岩骨内颈动脉夹层。

Spontaneous Right Intrapetrous Internal Carotid Dissection in a Patient With Active COVID-19.

机构信息

Tecnológico de Monterrey, School of Medicine and Health Science, Monterrey, Nuevo Leon, México.

Center for Women's Heart and Vascular Health, The Texas Heart Institute, Houston, Texas.

出版信息

Tex Heart Inst J. 2024 Jul 25;51(2). doi: 10.14503/THIJ-24-8403.

Abstract

Spontaneous cervical artery dissection, a nontraumatic tear in the wall of an internal carotid or vertebral artery, is a common cause of stroke, particularly in patients younger than 40 years of age; however, petrous internal carotid artery dissection is extremely rare. This case report describes a 50-year-old woman who had a spontaneous intrapetrous internal carotid dissection thought to be secondary to active SARS-CoV-2 infection; the dissection was treated successfully with a flow-diverter stent.

摘要

自发性颈内动脉夹层,即颈内动脉或椎动脉壁的非外伤性撕裂,是中风的一个常见原因,特别是在 40 岁以下的患者中;然而,岩骨内颈动脉夹层极为罕见。本病例报告描述了一位 50 岁女性,她患有自发性岩骨内颈动脉夹层,据认为是继发于活动性严重急性呼吸综合征冠状病毒 2 感染;该夹层通过使用血流导向支架成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ced/11284446/3c1e3fd9e22d/i1526-6702-51-2-e248403-f01.jpg

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