Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia

Detalhes bibliográficos
Autor(a) principal: Bilman,Victor
Data de Publicação: 2021
Outros Autores: Apruzzi,Luca, Baccellieri,Domenico, Sanvito,Francesca, Bertoglio,Luca, Chiesa,Roberto
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Jornal Vascular Brasileiro (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100610
Resumo: Abstract Isolated dissection of the internal carotid artery (ICA) is rare in young patients and is a cause for strong suspicion of fibromuscular dysplasia (FMD), especially when associated with artery elongation and tortuosity. The natural history of cerebrovascular FMD is unknown and management of symptomatic patients can be challenging. We report the case of a 44-year-old female patient with a history of transient ischemic attack in the absence of cardiovascular risk factors, associated with an isolated left ICA dissection and kinking. Carotid duplex ultrasound confirmed the diagnosis of dissection and demonstrated severe stenosis of the left ICA. The patient underwent surgical repair and histopathological evaluation confirmed the diagnosis of FMD with dissection. An autogenous great saphenous vein bypass was performed and the patient had an uneventful recovery. Cervical carotid artery dissection can be related to underlying arterial pathologies such as FMD, and the presence of ICA tortuosity highlights certain peculiarities for optimal management, which might be surgical.
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spelling Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasiacarotid arterykinkingcoilingarterial dissectionfibromuscular dysplasiaAbstract Isolated dissection of the internal carotid artery (ICA) is rare in young patients and is a cause for strong suspicion of fibromuscular dysplasia (FMD), especially when associated with artery elongation and tortuosity. The natural history of cerebrovascular FMD is unknown and management of symptomatic patients can be challenging. We report the case of a 44-year-old female patient with a history of transient ischemic attack in the absence of cardiovascular risk factors, associated with an isolated left ICA dissection and kinking. Carotid duplex ultrasound confirmed the diagnosis of dissection and demonstrated severe stenosis of the left ICA. The patient underwent surgical repair and histopathological evaluation confirmed the diagnosis of FMD with dissection. An autogenous great saphenous vein bypass was performed and the patient had an uneventful recovery. Cervical carotid artery dissection can be related to underlying arterial pathologies such as FMD, and the presence of ICA tortuosity highlights certain peculiarities for optimal management, which might be surgical.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2021-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100610Jornal Vascular Brasileiro v.20 2021reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.200243info:eu-repo/semantics/openAccessBilman,VictorApruzzi,LucaBaccellieri,DomenicoSanvito,FrancescaBertoglio,LucaChiesa,Robertoeng2021-05-27T00:00:00Zoai:scielo:S1677-54492021000100610Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2021-05-27T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false
dc.title.none.fl_str_mv Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
title Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
spellingShingle Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
Bilman,Victor
carotid artery
kinking
coiling
arterial dissection
fibromuscular dysplasia
title_short Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
title_full Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
title_fullStr Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
title_full_unstemmed Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
title_sort Symptomatic internal carotid artery dissection and kinking in a patient with fibromuscular dysplasia
author Bilman,Victor
author_facet Bilman,Victor
Apruzzi,Luca
Baccellieri,Domenico
Sanvito,Francesca
Bertoglio,Luca
Chiesa,Roberto
author_role author
author2 Apruzzi,Luca
Baccellieri,Domenico
Sanvito,Francesca
Bertoglio,Luca
Chiesa,Roberto
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Bilman,Victor
Apruzzi,Luca
Baccellieri,Domenico
Sanvito,Francesca
Bertoglio,Luca
Chiesa,Roberto
dc.subject.por.fl_str_mv carotid artery
kinking
coiling
arterial dissection
fibromuscular dysplasia
topic carotid artery
kinking
coiling
arterial dissection
fibromuscular dysplasia
description Abstract Isolated dissection of the internal carotid artery (ICA) is rare in young patients and is a cause for strong suspicion of fibromuscular dysplasia (FMD), especially when associated with artery elongation and tortuosity. The natural history of cerebrovascular FMD is unknown and management of symptomatic patients can be challenging. We report the case of a 44-year-old female patient with a history of transient ischemic attack in the absence of cardiovascular risk factors, associated with an isolated left ICA dissection and kinking. Carotid duplex ultrasound confirmed the diagnosis of dissection and demonstrated severe stenosis of the left ICA. The patient underwent surgical repair and histopathological evaluation confirmed the diagnosis of FMD with dissection. An autogenous great saphenous vein bypass was performed and the patient had an uneventful recovery. Cervical carotid artery dissection can be related to underlying arterial pathologies such as FMD, and the presence of ICA tortuosity highlights certain peculiarities for optimal management, which might be surgical.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100610
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100610
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1677-5449.200243
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
dc.source.none.fl_str_mv Jornal Vascular Brasileiro v.20 2021
reponame:Jornal Vascular Brasileiro (Online)
instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron:SBACV
instname_str Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron_str SBACV
institution SBACV
reponame_str Jornal Vascular Brasileiro (Online)
collection Jornal Vascular Brasileiro (Online)
repository.name.fl_str_mv Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
repository.mail.fl_str_mv ||secretaria@sbacv.org.br
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