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无名动脉夹层导致右椎动脉间歇性血流逆转

Right Vertebral Artery Intermittent Flow Reversal Due to Innominate Artery Dissection.

作者信息

Tagliati Corrado, Quaranta Alessia, Fogante Marco, Lamja Stefania, Matarrese Alfonso Alberto, Battista Davide, Cocco Giulio, Lanni Giuseppe, Rebonato Alberto, Principi Fabiola, Argalia Giulio, Corvino Antonio, Carbone Iacopo, Di Cesare Ernesto, Schicchi Nicolò

机构信息

AST Ancona, Ospedale di Comunità Maria Montessori di Chiaravalle, Via Fratelli Rosselli 176, 60033 Chiaravalle, Italy.

AST Macerata, Cardiologia, Distretto Sanitario di Civitanova Marche, Via Abruzzo, 62012 Civitanova Marche, Italy.

出版信息

Diagnostics (Basel). 2025 Jun 30;15(13):1668. doi: 10.3390/diagnostics15131668.

DOI:10.3390/diagnostics15131668
PMID:40647667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248543/
Abstract

Here, we describe a case of an asymptomatic 73-year-old female patient who suffered from type A acute aortic dissection with epiaortic arteries involvement and underwent surgical operation 9 years ago. A follow-up color Doppler ultrasound revealed a right vertebral artery intermittent flow reversal due to innominate artery dissection. To our knowledge, no previous studies have reported this intermittent flow reversal; therefore, supra-aortic trunks should be considered among the possible causes of vertebral artery flow reversal.

摘要

在此,我们描述了一例73岁无症状女性患者,该患者9年前患有累及主动脉弓上动脉的A型急性主动脉夹层并接受了手术。随访彩色多普勒超声显示,由于无名动脉夹层,右侧椎动脉出现间歇性血流逆转。据我们所知,此前尚无研究报道过这种间歇性血流逆转;因此,在椎动脉血流逆转的可能原因中应考虑主动脉弓上干。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3105/12248543/f103e7b37c7e/diagnostics-15-01668-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3105/12248543/f103e7b37c7e/diagnostics-15-01668-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3105/12248543/f103e7b37c7e/diagnostics-15-01668-g001.jpg

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本文引用的文献

1
From Survival to Recovery: Understanding the Life Impact of an Acute Aortic Dissection Through Activity, Sleep, and Quality of Life.从生存到康复:通过活动、睡眠和生活质量理解急性主动脉夹层对生活的影响
J Clin Med. 2025 Jan 28;14(3):859. doi: 10.3390/jcm14030859.
2
A Narrative Review of Biomarkers and Imaging in the Diagnosis of Acute Aortic Syndrome.急性主动脉综合征诊断中生物标志物与影像学的叙述性综述
Diagnostics (Basel). 2025 Jan 14;15(2):183. doi: 10.3390/diagnostics15020183.
3
Aortic dissection: How to identify it during an abdominal ultrasound examination and achieve a potentially lifesaving diagnosis.
主动脉夹层:如何在腹部超声检查中识别它并做出可能救命的诊断。
J Clin Ultrasound. 2024 Sep;52(7):967-972. doi: 10.1002/jcu.23741. Epub 2024 Jun 1.
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Thoracic Aorta: Anatomy and Pathology.胸主动脉:解剖与病理学
Diagnostics (Basel). 2023 Jun 25;13(13):2166. doi: 10.3390/diagnostics13132166.
5
Type A aortic dissection: involvement of carotid artery and impact on cerebral malperfusion.A型主动脉夹层:颈动脉受累及其对脑灌注不良的影响。
Asian Cardiovasc Thorac Ann. 2021 Sep;29(7):635-642. doi: 10.1177/0218492320984329. Epub 2020 Dec 29.
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