World neurosurgery · 2018
Coarctation of the Aorta Complicated with Intracranial Aneurysm: A Case Report and Literature Review.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Hui, Feng Lei
Аннотация
BACKGROUND: Coarctation of the aorta (CoA) complicated with rupture and hemorrhage of intracranial aneurysms is not commonly seen in clinical practice. Here we report a middle-aged female patient who presented with acute severe headache.
CASE DESCRIPTION: Head computed tomography (CT) demonstrated an extensive subarachnoid hemorrhage. Digital subtraction angiography demonstrated coarctation and occlusion of the proximal thoracic aorta and occlusion of the terminal aortic arch. Aortic-intracranial CT angiography (CTA) confirmed a CoA complicated with an anterior communicating artery aneurysm. Clipping of the anterior communicating artery aneurysm was performed via a left lateral orbital approach. Postoperative intracranial CTA showed complete clipping of the aneurysm. The patient was discharged postoperatively with good recovery.
CONCLUSIONS: The pathophysiological mechanism of CoA complicated with intracranial aneurysm remains unclear, but attention should be given to the relationship between the 2 entities in clinical practice, and effective treatment should be provided according to specific conditions.
CASE DESCRIPTION: Head computed tomography (CT) demonstrated an extensive subarachnoid hemorrhage. Digital subtraction angiography demonstrated coarctation and occlusion of the proximal thoracic aorta and occlusion of the terminal aortic arch. Aortic-intracranial CT angiography (CTA) confirmed a CoA complicated with an anterior communicating artery aneurysm. Clipping of the anterior communicating artery aneurysm was performed via a left lateral orbital approach. Postoperative intracranial CTA showed complete clipping of the aneurysm. The patient was discharged postoperatively with good recovery.
CONCLUSIONS: The pathophysiological mechanism of CoA complicated with intracranial aneurysm remains unclear, but attention should be given to the relationship between the 2 entities in clinical practice, and effective treatment should be provided according to specific conditions.