Ischemic Stroke Caused by Carotid Stump at the Common Carotid Artery

被引：2

作者：

Hashimoto, Go ^{[1
]}

Wada, Shinichi ^{[1
]}

Morita, Takao ^{[1
]}

Tomohara, Saori ^{[1
]}

Hara, Kenta ^{[2
]}

Kumabe, Mitsuru ^{[3
]}

Matsushima, Takumi ^{[4
]}

Kadowaki, Masanori ^{[4
]}

Hamaguchi, Masumitsu ^{[5
]}

Kuwashiro, Takahiro ^{[1
]}

Yasaka, Masahiro ^{[1
]}

Okada, Yasushi ^{[1
]}

机构：

[1] Natl Hospitalizat Org, Kyushu Med Ctr, Clin Res Inst, Div Cerebrovasc Med & Neurol, Fukuoka, Fukuoka, Japan

[2] Natl Hospitalizat Org, Kyushu Med Ctr, Clin Res Inst, Div Neuroendovasc Therapy, Fukuoka, Fukuoka, Japan

[3] Natl Hospitalizat Org, Kyushu Med Ctr, Dept Clin Educ & Training Ctr, Fukuoka, Fukuoka, Japan

[4] Natl Hospitalizat Org, Kyushu Med Ctr, Clin Res Inst, Dept Hematol, Fukuoka, Fukuoka, Japan

[5] Natl Hospitalizat Org, Kyushu Med Ctr, Clin Res Inst, Dept Urol, Fukuoka, Fukuoka, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 23期

关键词：

ischemic stroke; carotid stump syndrome; common carotid artery; ultrasonography; SPONTANEOUS ECHO CONTRAST;

D O I：

10.2169/internalmedicine.5021-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 84-year-old man developed motor aphasia and right hemiparesis on postoperative day 1 after orchiectomy for suspected malignant lymphoma. He had a history of thoracic endovascular aortic repair for aortic aneurysm using a bypass graft from the right subclavian artery to the left common carotid artery (CCA); however, the graft had become occluded six months later. Brain magnetic resonance imaging revealed acute cerebral infarctions in the left frontal lobe. Carotid ultrasonography revealed a stump at the left CCA, just below the bifurcation, formed by the occluded graft with an oscillating thrombus. This case was rare in that a CCA stump was identified as the embolic source of ischemic stroke.

引用

页码：3071 / 3074

页数：4

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