Distal Subclavian Artery Occlusion Causing Multiple Cerebral Infarcts Consequence of Retrograde Flow of a Thrombus?

Baek, Joon Hyun; Shin, Dong Hoon; Kang, Chang-Ki; Lee, Yeong-Bae

doi:10.7461/jcen.2013.15.3.221

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…The source of emboli was found to be an axillary artery aneurysm with intramural thrombus. A proposed mechanism is retrograde flow and embolization of the cerebral artery due to occlusion and lack of forward flow from the thrombosed peripheral artery [9,10].…”

Section: Discussionmentioning

confidence: 99%

Axillary artery aneurysm as rare cause of concurrent cerebellar infarct and acute limb ischemia: A case report

Jia¹,

Mohan²,

Mikkineni³

2022

J Clin Images Med Case Rep

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Axillary artery aneurysms are well documented and have potentially severe or life-threatening complications [1-3]. While pseudoaneurysms of the axillary artery can be caused by trauma or iatrogenic complications, true aneurysms are often due to repeated blunt trauma to the axillary artery over time, leading to weakening of the artery wall. The most common example is prolonged crutch use, though some athletes who have repetitive forceful movement of the upper limb, such as baseball players, may also be at risk [3]. Rarer causes include degenerative disorders such as Marfan’s syndrome or inflammatory diseases such as vasculitis [2]. Potential complications of axillary artery aneurysms include neurologic or vascular compromise of the involved upper extremity. Here we report the rare case of a patient presenting with concurrent acute cerebellar stroke and critical limb ischemia as embolic complications of axillary artery aneurysm.

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Section: Discussionmentioning

confidence: 99%

Axillary artery aneurysm as rare cause of concurrent cerebellar infarct and acute limb ischemia: A case report

Jia¹,

Mohan²,

Mikkineni³

2022

J Clin Images Med Case Rep

View full text Add to dashboard Cite

show abstract

“…A number of studies in patients with cryptogenic stroke have shown that a high proportion of these patients demonstrate retrograde embolization of aortic plaque that could reach all aortic branch vessels. 33,37,[39][40][41][42]…”

Section: Cryptogenic Strokementioning

confidence: 99%

Update on state of the art magnetic resonance angiography techniques

Brinjikji¹,

Young

2015

JVD

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Magnetic resonance angiography (MRA) is a dynamic and growing field. In most cases, MRA has replaced conventional angiography and computed tomographic angiography in the evaluation of vascular disease. Numerous MRA techniques are available in clinical practice, each with their own strengths and weaknesses. A number of non-contrast techniques are available that do not expose patients to the potentially toxic effects of gadolinium. Dynamic time-resolved imaging is emerging as an important tool in the evaluation of the hemodynamic consequences of vascular disease. In this review, we summarize the state of the art in MRA of the aorta and peripheral arteries.

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Epidemiology and pathogenesis of thoracic outlet syndrome

Wójcik

Sokołowska

Piskorz

2015

Current Issues in Pharmacy and Medical Sciences

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The superior thoracic aperture is a place particularly vulnerable to the occurrence of tissue conflict and the development of a number of neurovascular changes carrying a risk of upper limb dysfunction. The triggering factor in this case is the pressure on the nerve vascular elements brought about by too large muscles of the chest and neck, clavicle fracture and dislocation of the upper ribs, anomalies in the form of ribs, in the neck, or by apex of the lung tumors. Each anatomical anomaly may be a cause of a number of lesions and lead to the development of the disease. Due to the nature of the oppressed structures, there are two basic groups: neurogenic and vascular. The most common variant giving clinical symptoms is neurogenic thoracic outlet syndrome. In this, the compression ratio, the brachial plexus, and for this reason, the vascular surface of the upper limb dysfunction is often overlooked. However, the vascular variant, and especially arterial sub-variant, is very dangerous because it can give complications even in the form of aneurysms, and even upper limb ischemia. The aim of the study is to present the most common changes in the thoracic outlet causing functional disorders of the upper limb.

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Distal Subclavian Artery Occlusion Causing Multiple Cerebral Infarcts Consequence of Retrograde Flow of a Thrombus?

Cited by 4 publications

References 3 publications

Axillary artery aneurysm as rare cause of concurrent cerebellar infarct and acute limb ischemia: A case report

Axillary artery aneurysm as rare cause of concurrent cerebellar infarct and acute limb ischemia: A case report

Update on state of the art magnetic resonance angiography techniques

Epidemiology and pathogenesis of thoracic outlet syndrome

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