Amaurosis fugax associated with congenital vascular defect
A 68-year-old female with no significant past medical history presented with loss of vision in the lower half of her left eye that lasted
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| Veröffentlicht in: | International medical case reports journal 2016-01, Vol.9, p.169-172 |
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| creator | Giltner, John W Thomas, Edward R Rundell, William K |
| description | A 68-year-old female with no significant past medical history presented with loss of vision in the lower half of her left eye that lasted |
| doi_str_mv | 10.2147/IMCRJ.S106627 |
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No abnormalities were found on ocular or physical exam. Computed tomography angiography and carotid ultrasound were performed, which confirmed the diagnosis as amaurosis fugax with two abnormalities leading to the transient retinal vessel occlusion. First, it was found that the patient has a congenital vascular anomaly, which consisted most notably of a right-sided aortic arch. This vascular anomaly also consisted of abnormal branching of the left subclavian and common carotid arteries, predisposing the patient to turbulent blood flow and increased risk of the formation of an atherosclerotic plaque at the origin of the common carotid artery. This is an abnormal location for a plaque leading to amaurosis fugax compared to the most common location at the carotid bifurcation. Endarterectomy was not performed because of the difficult location of the plaque and tortuosity of the vessel. Rather, medical intervention with antiplatelet and lipid-lowering therapy was initiated to lower the risk of future retinal or cerebral thromboembolic events.</description><identifier>ISSN: 1179-142X</identifier><identifier>EISSN: 1179-142X</identifier><identifier>DOI: 10.2147/IMCRJ.S106627</identifier><identifier>PMID: 27445507</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Aneurysms ; Cardiac arrhythmia ; Care and treatment ; Carotid arteries ; Case Report ; Case reports ; Case studies ; Complications and side effects ; Congenital diseases ; Development and progression ; Family medical history ; Glaucoma ; Macular degeneration ; Medical imaging ; Stroke ; Surgery ; Tomography ; Ultrasonic imaging ; Vascular diseases ; Veins & arteries ; Vision disorders</subject><ispartof>International medical case reports journal, 2016-01, Vol.9, p.169-172</ispartof><rights>COPYRIGHT 2016 Dove Medical Press Limited</rights><rights>2016. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Giltner et al. This work is published and licensed by Dove Medical Press Limited 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938134/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938134/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,3848,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27445507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giltner, John W</creatorcontrib><creatorcontrib>Thomas, Edward R</creatorcontrib><creatorcontrib>Rundell, William K</creatorcontrib><title>Amaurosis fugax associated with congenital vascular defect</title><title>International medical case reports journal</title><addtitle>Int Med Case Rep J</addtitle><description>A 68-year-old female with no significant past medical history presented with loss of vision in the lower half of her left eye that lasted <5 minutes. No abnormalities were found on ocular or physical exam. Computed tomography angiography and carotid ultrasound were performed, which confirmed the diagnosis as amaurosis fugax with two abnormalities leading to the transient retinal vessel occlusion. First, it was found that the patient has a congenital vascular anomaly, which consisted most notably of a right-sided aortic arch. This vascular anomaly also consisted of abnormal branching of the left subclavian and common carotid arteries, predisposing the patient to turbulent blood flow and increased risk of the formation of an atherosclerotic plaque at the origin of the common carotid artery. This is an abnormal location for a plaque leading to amaurosis fugax compared to the most common location at the carotid bifurcation. Endarterectomy was not performed because of the difficult location of the plaque and tortuosity of the vessel. Rather, medical intervention with antiplatelet and lipid-lowering therapy was initiated to lower the risk of future retinal or cerebral thromboembolic events.</description><subject>Aneurysms</subject><subject>Cardiac arrhythmia</subject><subject>Care and treatment</subject><subject>Carotid arteries</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Complications and side effects</subject><subject>Congenital diseases</subject><subject>Development and progression</subject><subject>Family medical history</subject><subject>Glaucoma</subject><subject>Macular degeneration</subject><subject>Medical imaging</subject><subject>Stroke</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><subject>Vascular diseases</subject><subject>Veins & arteries</subject><subject>Vision disorders</subject><issn>1179-142X</issn><issn>1179-142X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkV1rFDEUhoNYbKm99FYGBO9mzcl8JPFCWJaqlZaCH-BdOJM5s5syM6mTTNV_b9audReaXCQkz3lIzsvYC-ALAaV8c3G1-vxp8QV4XQv5hJ0ASJ1DKb4_3dsfs7MQbngahRYS5DN2LGRZVhWXJ-ztcsB58sGFrJvX-CvDELx1GKnNfrq4yawf1zS6iH12h8HOPU5ZSx3Z-JwdddgHOtutp-zb-_Ovq4_55fWHi9XyMrdlUce8baTkoKlum7qVleqQa1Vqy0FVIAFRCdA1J1SlqJqma5GsooqAkwKeHKfs3b33dm4Gai2NccLe3E5uwOm38ejM4c3oNmbt70ypCwXFVvBqJ5j8j5lCNDd-nsb0ZiOE0FrUoPR_ao09GTd2Psns4II1y4oXQteF2roWj1BptjS41CvqXDo_KHi9V7Ah7OMm-H6Ozo_hEMzvQZviCBN1Dz8EbrZpm79pm13aiX-535YH-l-2xR8enaOE</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Giltner, John W</creator><creator>Thomas, Edward R</creator><creator>Rundell, William K</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20160101</creationdate><title>Amaurosis fugax associated with congenital vascular defect</title><author>Giltner, John W ; Thomas, Edward R ; Rundell, William K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-db77019e6db6d758fa09849c0185171aa821960ea8425bbfdaec8e5e10e810c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aneurysms</topic><topic>Cardiac arrhythmia</topic><topic>Care and treatment</topic><topic>Carotid arteries</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Complications and side effects</topic><topic>Congenital diseases</topic><topic>Development and progression</topic><topic>Family medical history</topic><topic>Glaucoma</topic><topic>Macular degeneration</topic><topic>Medical imaging</topic><topic>Stroke</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Ultrasonic imaging</topic><topic>Vascular diseases</topic><topic>Veins & arteries</topic><topic>Vision disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giltner, John W</creatorcontrib><creatorcontrib>Thomas, Edward R</creatorcontrib><creatorcontrib>Rundell, William K</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International medical case reports journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giltner, John W</au><au>Thomas, Edward R</au><au>Rundell, William K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amaurosis fugax associated with congenital vascular defect</atitle><jtitle>International medical case reports journal</jtitle><addtitle>Int Med Case Rep J</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>9</volume><spage>169</spage><epage>172</epage><pages>169-172</pages><issn>1179-142X</issn><eissn>1179-142X</eissn><abstract>A 68-year-old female with no significant past medical history presented with loss of vision in the lower half of her left eye that lasted <5 minutes. No abnormalities were found on ocular or physical exam. Computed tomography angiography and carotid ultrasound were performed, which confirmed the diagnosis as amaurosis fugax with two abnormalities leading to the transient retinal vessel occlusion. First, it was found that the patient has a congenital vascular anomaly, which consisted most notably of a right-sided aortic arch. This vascular anomaly also consisted of abnormal branching of the left subclavian and common carotid arteries, predisposing the patient to turbulent blood flow and increased risk of the formation of an atherosclerotic plaque at the origin of the common carotid artery. This is an abnormal location for a plaque leading to amaurosis fugax compared to the most common location at the carotid bifurcation. Endarterectomy was not performed because of the difficult location of the plaque and tortuosity of the vessel. Rather, medical intervention with antiplatelet and lipid-lowering therapy was initiated to lower the risk of future retinal or cerebral thromboembolic events.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>27445507</pmid><doi>10.2147/IMCRJ.S106627</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOVE Medical Press Journals; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Aneurysms Cardiac arrhythmia Care and treatment Carotid arteries Case Report Case reports Case studies Complications and side effects Congenital diseases Development and progression Family medical history Glaucoma Macular degeneration Medical imaging Stroke Surgery Tomography Ultrasonic imaging Vascular diseases Veins & arteries Vision disorders |
| title | Amaurosis fugax associated with congenital vascular defect |
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