Aortailiyak Tıkayıcı Hastalıkta İyi Bilinen Ancak Genellikle Gözardı Edilen Bir Kollateral Kanal - Winslow Yolağı
Abstract
Aortailiyak tıkayıcı hastalık kritik bacak iskemisine yol açmaktadır. Öte yandan alt ekstremitelerin dolaşımı olası kollateral kanallar ile devam ettirilebilir. Kollateral dolaşım gelişimine bağlı olarak aortailiyak tıkayıcı hastalığı olanların önemli bir kısmı asemptomatiktir ve klinik açıdan sessiz seyretmektedir. İnternal mammarian arter inferiyor epigastrik arter ile aynı embriyojenik dorsal aortadan köken almaktadır ve aortailiyak tıkayıcı hastalıkta önemli bir kollateral kaynağı olarak görev alır. İnternal mammarian arter ve inferiyor epigastrik arter arasındaki bağlantı Winslow yolağı olarak isimlendirilir. Winslow yolağı patent olan bir aortailiyak tıkayıcı hastalığı bulunan bir hastada koroner arter bypass greftleme cerrahisinde internal mammarian arterin kullanılması kritik bacak iskemisini tetikleyebilir.
References
- 1. Kim J, Won JY, Park SI, et al. Internal thoracic artery collateral to the external iliac artery in chronic aortoiliac occlusive disease. Korean J Radiol. 2003;4(3):179-83.
- 2. Hardman RL, Lopera JE, Cardan RA, et al. Common and rare collateral pathways in aortoiliac occlusive disease: a pictorial essay. AJR Am J Roentgenol. 2011;197(3):W519-24.
- 3. Prager RJ, Akin JR, Akin GC, et al. Winslow’s pathway: a rare collateral channel in infrarenal aortic occlusion. AJR Am J Roentgenol. 1977;128(3):485-7.
- 4. Lederman RJ, Reiner JS. A contraindication for internal mammary to coronary bypass. Heart. 2006;92(1):51.
- 5. Yurdakul M, Tola M, Ozdemir E, et al. Internal thoracic arteryinferior epigastric artery as a collateral pathway in aortoiliac occlusive disease. J Vasc Surg. 2006;43(4):707-13.
A Well-known But Generally Overlooked Collateral Channel In Aortoiliac Occlusive Disease - Winslow’s Pathway
Abstract
The aortoiliac occlusive disease triggers critical limb ischemia; however, the blood supply of lower extremities can be sustained through possible collateral channels. Due to the development of collateral circulation, a substantial number of patients with aortoiliac occlusion remain clinically silent and asymptomatic. Internal mammarian artery originates from the same embryogenic dorsal aorta with inferior epigastric artery and serves as a possible collateral supply in aortoiliac occlusive disease. The connection between the internal mammarian artery and the inferior epigastric artery is known as Winslow’s pathway. Harvesting of internal mammarian artery in coronary artery bypass grafting surgery can result in critical limb ischemia in aortoiliac occlusive disease with patent Winslow’s pathway.
References
- 1. Kim J, Won JY, Park SI, et al. Internal thoracic artery collateral to the external iliac artery in chronic aortoiliac occlusive disease. Korean J Radiol. 2003;4(3):179-83.
- 2. Hardman RL, Lopera JE, Cardan RA, et al. Common and rare collateral pathways in aortoiliac occlusive disease: a pictorial essay. AJR Am J Roentgenol. 2011;197(3):W519-24.
- 3. Prager RJ, Akin JR, Akin GC, et al. Winslow’s pathway: a rare collateral channel in infrarenal aortic occlusion. AJR Am J Roentgenol. 1977;128(3):485-7.
- 4. Lederman RJ, Reiner JS. A contraindication for internal mammary to coronary bypass. Heart. 2006;92(1):51.
- 5. Yurdakul M, Tola M, Ozdemir E, et al. Internal thoracic arteryinferior epigastric artery as a collateral pathway in aortoiliac occlusive disease. J Vasc Surg. 2006;43(4):707-13.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 6, 2021 |
| Published in Issue | Year 2021 Volume: 2 Issue: 1 |
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