engleski

Multiple localised craniocervical artery dissections developing after aortic arch dissection

A 56-year old male without vascular risk factors, presented with syncope, shock and encephalopathy afterwards. The diagnosis of aortic arch dissection was set. Aortic arch was operated, aortic valve was replaced and warfarin was introduced. During the fi rst year of follow up, he was symptom-free. However carotid color Doppler (CCD) showed a newly developed localized distal right common carotid and proximal internal carotid artery dissection. During the second year of follow up, he was ten months symptom-free. Afterwards, he had two attacks of vertigo and nausea, without vomiting. No other neurological symptoms or signs developed. He started complaining on the pain in the right shoulder. CCD confi rmed persistent right carotid dissection, and a new right subclavian artery dissection was displayed. This is the fi rst report of a previously healthy patient who developed consecutive localized carotid and subclavian dissections during two-year follow-up of aortic arch dissection.

multiple dissections; color carotid doppler; ultrasound

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