By Nicholas Bunce
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MRA demonstrates a tight stenosis at the origin of the left internal carotid artery. The patient was referred for carotid endarterectomy RISK FACTORS Hypertension is one of the most important risk factors for carotid artery disease and subsequent stroke1. Both systolic and diastolic blood pressures are important, and reduction in both can significantly reduce the risk of subsequent strokes. An average reduction in diastolic blood pressure of 6 mmHg can produce a 42% reduction in the risk of stroke2.
13 A 26-year-old woman was referred with left arm pain, reduced left brachial and radial arterial pulsation and blood pressure. MRA demonstrates a long diffuse stenosis in the proximal left subclavian artery. 14 A 32-year-old woman was admitted with right arm discomfort Magnetic resonance of the aorta 35 with exercise. 15 A 63-year-old man with previous coronary artery bypass surgery had repeat coronary angiography which confirmed three patent vein grafts. Because of an occluded left subclavian artery, it was not possible to identify the left internal mammary graft so the patient was referred for CE-MRA.
Wilson SK, Hutchins GM. Aortic dissecting aneurysms: causative factors in 204 subjects. Arch Pathol Lab Med 1982; 106:175–80 12. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery 1982; 92:1118–34 13. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg 1970; 20:237–47 14. Slater EE, DeSanctis RW. The clinical recognition of dissecting aortic aneurysm.