Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010000100014
Jornal Vascular Brasileiro
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Enxerto subclávio-carotídeo como método de tratamento na obstrução da artéria carótida comum

Subclavian-carotid bypass graft for the occlusion of the common carotid artery

Otacílio de Camargo Junior; Luiz Roberto Felizzola; Antonio Cláudio Guedes Chrispim; Claudio Roberto Cabrini Simões; Márcia Fayad Marcondes; Marivan Pedra Araújo; Kelly Cristina Moraes; Márcio Villar de Freitas

http://dx.doi.org/10.1590/S1677-54492010000100014 J Vasc Bras, vol.9, n1, p.78-81, 2010
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Resumo

A oclusão isolada da artéria carótida comum (ACC) é uma lesão relativamente incomum (0,5 a 5%). A maioria dos pacientes com obstrução da ACC tem lesão concomitante na artéria carótida interna (ACI) e na artéria carótida externa (ACE) ipsilaterais, sendo que, ocasionalmente, a circulação colateral da ACE pode preservar a perviedade da ACI via fluxo retrógrado. Relatamos o caso de um paciente sintomático com oclusão da ACC e perviedade das ACI e ACE tratado cirurgicamente com enxerto subclávio-carotídeo.

Palavras-chave

Enxerto subclávio-carotídeo, oclusão artéria carótida, doença cerebrovascular

Abstract

Isolated occlusion of the common carotid artery (CCA) is a relatively uncommon lesion (0.5 to 5%). Most patients with occlusion of the CCA have concomitant lesions of the ipsilateral internal carotid artery (ICA) and external carotid artery (ECA), and ECA may occasionally preserve ICA patency by means of retrograde flow. We report the case of a symptomatic patient with occlusion of the CCA and patency of the ICA and ECA treated with subclavian-carotid bypass graft.

Keywords

Subclavian-carotid bypass, carotid artery occlusion, cerebrovascular disease

Referências

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