血栓形成を合併した頸動脈蛇行症の1例  [in Japanese] KINKING OF THE COMMON CAROTID ARTERY WITH MURAL THROMBOSIS : A CASE REPORT  [in Japanese]

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Abstract

症例は74歳の女性,右頸部拍動性腫瘤を主訴として来院した. CTおよび血管造影検査(IV-DSA)にて,右総頸動脈に発生した頸動脈蛇行症と診断した.さらに超音波検査にて,内腔に血栓を有することが判明し,降圧療法とともに,抗凝固療法が開始された.現在, 3年の歳月が経過しているが,内腔の血栓は消失し,脳神経症状も認めていない.本症における血管内腔の血栓形成の可能性と,抗凝固療法の必要性が確認されたので,文献的考察を加えて報告する.

Kinking of the right common carotid artery seen in a 74-year-old female is reported. The patient was seen at the hospital because of a pulsatile mass in the right side of the nack. An about 3cm pulsatile mass was palpated in the right side of the neck. It was diagnosed as kinking of the right common carotid artery by CT scans and angiography (IV-DSA of the neck). And ultrasonography showed kinking of the right common carotid artery with mural thrombosis. Hypotensive therapy and anticoagulant therapy were started. There have been no thrombus in the artery and no episode of cerebrovascular insufficiency in the last 3 years. We conclude that the thrombus might be formed in the vessel with the kinded carotid artery and anticoagulant therapy would be necessary for such patients.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 57(4), 854-858, 1996-04-25

    Japan Surgical Association

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