Complex traumatic dissection of right vertebral and bilateral carotid arteries: a case report and literature review

被引:10
作者
Busch, T
Aleksic, I
Sirbu, H
Kersten, J
Dalichau, H
机构
[1] Univ Gottingen, Klin Thorax Herz & Gefasschirurg, Dept Thorac Surg, D-37075 Gottingen, Germany
[2] Univ Gottingen, Dept Cardiovasc Surg, D-37075 Gottingen, Germany
[3] Univ Gottingen, Dept Anaesthesiol, D-3400 Gottingen, Germany
来源
CARDIOVASCULAR SURGERY | 2000年 / 8卷 / 01期
关键词
carotid artery; dissection; trauma; vertebral artery;
D O I
10.1016/S0967-2109(99)00075-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 27-year-old female motorcycle passenger was admitted with bruises and concussion after a motor-vehicle accident. After a lucid interval of several hours she became stuporous and progressed to an acute comatose state. Computed tomography demonstrated extensive cerebral ischaemia in the territory of the right middle cerebral artery. Angiography after transfer to the authors' hospital revealed dissections of both carotid arteries and of the right vertebral artery. The patient underwent surgical reconstruction of the left internal carotid artery with saphenous vein. The management of this patient is discussed and the literature reviewed. (C) 2000 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:72 / 74
页数:3
相关论文
共 19 条
[1]   DIAGNOSIS OF TRAUMATIC CAROTID-ARTERY DISSECTION BY TRANSCRANIAL DOPPLER ULTRASOUND - CASE-REPORT AND REVIEW OF THE LITERATURE [J].
ACHTEREEKTE, HAM ;
VANDERKRUIJK, RA ;
HEKSTER, REM ;
KEUNEN, RWM .
SURGICAL NEUROLOGY, 1994, 42 (03) :240-244
[2]   BLUNT TRAUMA TO THE HIGH CERVICAL CAROTID-ARTERY [J].
BATZDORF, U ;
BENTSON, JR ;
MACHLEDER, HI .
NEUROSURGERY, 1979, 5 (02) :195-201
[3]   TRENDS IN THE MANAGEMENT OF TRAUMATIC VERTEBRAL ARTERY INJURIES [J].
BLICKENSTAFF, KL ;
WEAVER, FA ;
YELLIN, AE ;
STAIN, SC ;
FINCK, E .
AMERICAN JOURNAL OF SURGERY, 1989, 158 (02) :101-106
[4]   Carotid and vertebral artery occlusion after blunt cervical injury: The role of MR angiography in early diagnosis [J].
Bok, APL ;
Peter, JC .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 40 (06) :968-972
[6]  
CRISSEY MM, 1974, SURGERY, V75, P543
[7]   BLUNT CAROTID-ARTERY DISSECTION - INCIDENCE, ASSOCIATED INJURIES, SCREENING, AND TREATMENT [J].
DAVIS, JW ;
HOLBROOK, TL ;
HOYT, DB ;
MACKERSIE, RC ;
FIELD, TO ;
SHACKFORD, SR .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (12) :1514-1517
[8]   BLUNT INJURIES TO THE CAROTID AND VERTEBRAL ARTERIES [J].
DRAGON, R ;
SARANCHAK, H ;
LAKIN, P ;
STRAUCH, G .
AMERICAN JOURNAL OF SURGERY, 1981, 141 (04) :497-500
[9]   CAROTID-ARTERY TRAUMA - MANAGEMENT BASED ON MECHANISM OF INJURY [J].
FABIAN, TC ;
GEORGE, SM ;
CROCE, MA ;
MANGIANTE, EC ;
VOELLER, GR ;
KUDSK, KA .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (08) :953-963
[10]   CERVICAL CAROTID DISSECTING ANEURYSMS [J].
FRIEDMAN, WA ;
DAY, AL ;
QUISLING, RG ;
SYPERT, GW ;
RHOTON, AL .
NEUROSURGERY, 1980, 7 (03) :207-214