Winslow Pathway Collaterals: An Unusual Arterial Network in Takayasu Arteritis

Autor: Phani Kumar Devarasetti, Sreejitha K Sreesailam, Ramakrishna Narayanan, Subodh Gururani, Liza Rajasekhar
Rok vydání: 2020
Předmět:
Zdroj: Journal of the Royal College of Physicians of Edinburgh. 50:295-298
ISSN: 2042-8189
1478-2715
Popis: Takayasu arteritis which is reported more commonly from Asia and in females can present as middle aortic syndrome with lower limb claudication. We present a case of a young male with Takayasu arteritis with middle aortic syndrome and Winslow pathway collaterals with lower limb ischaemia, hypertension, coronary occlusion and stroke. The extensive collateral formation was visible as a clinical finding over the abdominal wall. The identification of these collateral pathways is essential in understanding the extent of haemodynamically significant disease and it alerts to the possibility of surgical injury during procedures like laparotomy or harvesting of internal thoracic artery for coronary artery bypass graft.
Databáze: OpenAIRE