Coarctation of the Aorta Complicated with Intracranial Aneurysm: A Case Report and Literature Review

被引：5

作者：

Zhang, Hui ^{[1
]}

Feng, Lei ^{[1
]}

机构：

[1] First Peoples Hosp Jining, Dept Neurosurg, Jining, Peoples R China

来源：

WORLD NEUROSURGERY | 2018年 / 112卷

关键词：

Aortic coarctation; Cerebral angiography; Hypertension; Intracranial aneurysm; Subarachnoid hemorrhage; PATIENT; RUPTURE; PREVALENCE;

D O I：

10.1016/j.wneu.2018.01.011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：25 / 30

页数：6

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