Winslow Pathway Collaterals: An Unusual Arterial Network in Takayasu Arteritis
Autor: | Phani Kumar Devarasetti, Sreejitha K Sreesailam, Ramakrishna Narayanan, Subodh Gururani, Liza Rajasekhar |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General Medicine Internal thoracic artery medicine.disease Education Abdominal wall medicine.anatomical_structure Coronary occlusion Large vessel vasculitis Internal medicine medicine.artery Laparotomy medicine Cardiology cardiovascular diseases medicine.symptom Claudication business Stroke Artery |
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 |
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