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Common carotid artery aneurysm revealing Takayasu's arteritis.

机译:颈总动脉瘤揭示了高津的动脉炎。

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摘要

Takayasu's arteritis (TA) is a chronic inflammatory disease of unknown etiology affecting large vessels, most markedly the aorta and its branches. Stroke or transient ischemic attack may occur in TA due to either the occlusion or embolic material originating from the inflammatory region of the vessel. Extracranial carotid aneurysms caused by TA are extremely rare and usually appear at advanced stages of the disease. A 27-year-old woman presented with carotidynia and a left laterocervical mass. Ultrasonography of the bilateral carotid arteries revealed an aneurysm of the left common carotid artery. The patient fulfilled the diagnostic criteria for TA. Extracranial carotid artery aneurysm could be an initial manifestation of this disease. The diagnosis of TA was made on the basis of the presence of systemic inflammatory reaction and the anatomic locations of the affected arteries-the common carotid artery in a young woman. Surgery with stent placement can be a successful long-term treatment.
机译:Takayasu的动脉炎(TA)是一种病因不明的慢性炎症性疾病,会影响大血管,最明显的是主动脉及其分支。由于血管炎性区域的阻塞或栓塞物质,TA中可能发生中风或短暂性脑缺血发作。 TA引起的颅外颈动脉瘤极为罕见,通常出现在疾病的晚期。一名27岁的妇女表现出胡萝卜素异常和左颈后肌包块。双侧颈动脉的超声检查显示左颈总动脉的动脉瘤。患者符合TA诊断标准。颅外颈动脉瘤可能是这种疾病的最初表现。 TA的诊断是根据全身炎症反应的存在以及受影响的动脉(年轻女性的颈总动脉)的解剖位置进行的。支架置入术可以成为成功的长期治疗方法。

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