Spontaneous isolated innominate artery dissection

Kanady, Kirk E.; Hartz, Renée S.; Massad, Malek G.; Melen, Onur; Russell, Edward; Feingold, Randall S.

doi:10.1212/wnl.40.8.1315-a

Cited by 9 publications

(4 citation statements)

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“…The more common cause of occlusion or stenosis of the innominate artery is athero sclerosis [12]. Embolism from the heart, cervical rib com pression, vasculitis [12], spontaneous dissection [15], trauma, infection and procedures for congenital heart dis ease [16] may contribute to a few cases. Though most of the patients may be asymptomatic [12], symtpoms of carotid or vertebrobasilar ischemia, arm ischemia, or a combination of these, may occur [1.2.…”

Section: Discussionmentioning

confidence: 99%

Floating Thrombus in the Innominate Artery as a Cause of Cerebral Infarction in Young Adults

Martín¹,

Bogousslavsky²,

Miklóssy

et al. 1992

Cerebrovasc Dis

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Intraluminal thrombi in the carotid circulation are uncommonly reported as a cause of stroke in young adults. We report two young women who suffered an embolic cerebral infarction from a floating thrombus in the innominate artery, without clotting abnormalities. Intraluminal thrombus at that level may have been previously overlooked as a cause of embolic cerebral infarction in young patients, because of the lack of a systematic assessment of the aortic arch and its proximal branches. Taking into account the fact that the evolution may be rapidly fatal, this possibility should be considered early in young patients without a clear etiology of stroke.

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Section: Discussionmentioning

confidence: 99%

Floating Thrombus in the Innominate Artery as a Cause of Cerebral Infarction in Young Adults

Martín¹,

Bogousslavsky²,

Miklóssy

et al. 1992

Cerebrovasc Dis

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“…3 There are no established criteria regarding surgical indications for repairing innominate artery dissection. 1 Karmy-Jones et al reported that patients with isolated dissection caused by trauma may be managed nonoperatively so long as no embolic event was observed. However, patients with a pseudoaneurysm should be treated immediately because of the risk of rupture.…”

Section: Fig 2 Operative Fi Ndings Amentioning

confidence: 99%

“…1,2 Case A 61-year-old man complained of a sudden onset of right back pain without any trauma. He had a history of hypertension and chronic renal failure.…”

Section: Introductionmentioning

confidence: 99%

Acute dissection of the innominate artery: A case of report

Munakata

Okada

Tanaka

et al. 2008

Gen Thorac Cardiovasc Surg

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“…Spontaneous dissection of the innominate artery is rare . Medical management is recommended when the vessel diameter is <3 cm and there is no evidence of distal emboli or malperfusion.…”

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confidence: 99%

Isolated innominate artery dissection

et al. 2017

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A 58-year-old male presented with back pain. On physical examination, his heart rate was 98 beats/min, blood pressure was 178/86 mmHg, his pulses were equal, and there were no murmurs.A computed tomography scan revealed an isolated innominate artery dissection with a maximum diameter of 1.6 cm (Figure 1). The patient was treated medically with strict blood pressure control and pain medication. At 6-month follow-up, he remains asymptomatic and the innominate dissection is unchanged (Figure 2). Spontaneous dissection of the innominate artery is rare.

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Spontaneous isolated innominate artery dissection

Cited by 9 publications

References 0 publications

Floating Thrombus in the Innominate Artery as a Cause of Cerebral Infarction in Young Adults

Floating Thrombus in the Innominate Artery as a Cause of Cerebral Infarction in Young Adults

Acute dissection of the innominate artery: A case of report

Isolated innominate artery dissection

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