Page 48 - Virtual Vascular Vol 4
P. 48

Intimal tear distal

                                                                                                                                                                                                        to left subclavian artery



                                                                                                                                                                                                        This dissection tear

                                                                                                                                                                                                        leads to blood flow
                                                                                                                                                                                                        pressurizing a false

                                                                                                                                                                                                        lumen.  This pressure

                                                                                                                                                                                                        compresses the left
                                                                                                                                                                                                        renal artery origin

                                                                                                                                                                                                        leading to L kidney

                                                                                                                                                                                                        ischemia.























                                                                                                                                                                                                        The celiac artery was

                                                                                                                                                                                                        perfused from the

                                                                                                                                                                                                        false lumen, superior
                                                                                                                                                                                                        mesenteric artery was

                                                                                                                                                                                                        from both true and

                                                                                                                                                                                                        false lumen, right renal
                                                                                                                                                                                                        artery from true lumen

                                                                                              Left renal                                                                                                and left renal artery
                                                                                              hypoperfusion                                                                                             from false lumen. The

                                                                                                                                                                                                        left kidney was small

                                                                                                                                                                                                        and hypoperfused.

















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