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1例颅外椎动脉开窗畸形病例报告及文献复习

A Case Report of Fenestration Deformity of Extracranial Vertebral Artery and Literature Review.

作者信息

Cao Mingjuan, Qiang Qun, Liu Jia, Zhang Miaomiao

机构信息

Department of Ultrasound Medical Imaging, Gansu Provincial Hospital of Traditional Chinese Medicine, Gansu, China.

出版信息

Thorac Cardiovasc Surg Rep. 2025 May 10;14(1):e4-e7. doi: 10.1055/a-2572-7093. eCollection 2025 Jan.

Abstract

BACKGROUND

Vertebral artery fenestration (VAF) is a rare anatomical variation of the vertebral artery that may affect the safety of clinical surgeries and interventional treatments. Although ultrasound is widely used to assess neck vessels, its application in diagnosing VAF has not been extensively investigated.

CASE DESCRIPTION

This article reports a case of an 82-year-old male patient who was diagnosed with VAF following a neck vessel ultrasound examination prompted by poor blood sugar control. The ultrasound revealed an abnormal course of the left vertebral artery, leading to the diagnosis of VAF.

CONCLUSION

Ultrasound, with its noninvasive nature and real-time imaging capabilities, is a valuable initial screening tool for diagnosing VAF. Despite its limitations, its ability to identify vascular anomalies such as VAF highlights its critical role in early detection, potentially improving patient outcomes and guiding clinical decision-making.

摘要

背景

椎动脉开窗畸形(VAF)是一种罕见的椎动脉解剖变异,可能影响临床手术和介入治疗的安全性。尽管超声被广泛用于评估颈部血管,但其在诊断VAF中的应用尚未得到广泛研究。

病例描述

本文报告一例82岁男性患者,因血糖控制不佳接受颈部血管超声检查后被诊断为VAF。超声显示左椎动脉走行异常,从而诊断为VAF。

结论

超声具有无创性和实时成像能力,是诊断VAF的一种有价值的初步筛查工具。尽管有其局限性,但其识别VAF等血管异常的能力凸显了其在早期检测中的关键作用,可能改善患者预后并指导临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bff/12065640/e9658973baf0/10-1055-a-2572-7093-i1020240504crv-1.jpg

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