Extensive Cerebrovascular and Visceral Artery Dissection and Pseudoaneurysm with Underlying Segmental Arterial Mediolysis
| Autor: | Christina Thaler, Abhishek Sethi, Nedaa Skeik, Jonathan R. Hyde |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Visceral artery Computed Tomography Angiography 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Aneurysm Internal medicine Adventitia medicine Humans cardiovascular diseases Computed tomography angiography Vertebral Artery Dissection Internal carotid artery dissection medicine.diagnostic_test business.industry Intracranial Aneurysm General Medicine Middle Aged medicine.disease Segmental arterial mediolysis Abdominal Pain Cerebral Angiography Dissection Aortic Dissection Viscera medicine.anatomical_structure Treatment Outcome cardiovascular system Cardiology Surgery Radiology Cardiology and Cardiovascular Medicine business Aneurysm False |
| Zdroj: | Annals of vascular surgery. 44 |
| ISSN: | 1615-5947 |
| Popis: | Segmental arterial mediolysis (SAM) is a nonatherosclerotic, nonhereditary vasculopathy that most commonly involves abdominal aortic branches and predominantly affects middle-age and elderly populations. Lysis of the outer arterial media results in separation of the media from the adventitia leading to dissecting aneurysms and/or pseudoaneurysms. We report a unique case of a 47-year-old man who presented with bilateral internal carotid artery dissection followed by dissections and aneurysms involving multiple visceral arteries. This case highlights the dramatic manifestation of SAM and discusses the complexity of decision-making related to this disease including differential diagnoses and management. |
| Databáze: | OpenAIRE |
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