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Verschlußsyndrom der Aortenbogenäste oder Aortenbogen-Syndrom

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Ergebnisse der Inneren Medizin und Kinderheilkunde

Part of the book series: Ergebnisse der Inneren Medizin und Kinderheilkunde ((KINDERHEILK. NF,volume 29))

Zusammenfassung

Als „Verschlußsyndrom der Aortenbogenäste“ oder „Aortenbogen-Syndrom“ sollen alle Krankheitsbilder zusammengefaßt werden, denen Stenosen oder Verschlüsse der Aortenbogenäste zugrundeliegen. Aortenbogenäste sind die vom Aortenbogen entspringenden Arterien erster Ordnung, neben dem Tr. brachiocephalicus, der entwicklungsgeschichtlich dem ersten Abschnitt des rechten Aortenbogens entspricht (Abb. 4, A→B), die beiden Aa. carotis communes und die beiden Aa. subclaviae bis zum Abgang der A. vertebralis als dem gewöhnlich ersten Seitenast (Abb. 1). Der isolierte Verschluß der A. carotis interna, Stenosen am Abgang der A. vertebralis oder Verschlußprozesse in den Armarterien distal vom Abgang der A. vertebralis ohne Miterkrankung der vorgeschalteten Arterien gehören nicht zum Aortenbogen-Syndrom. Diese auf den ersten Blick willkürlich anmutende anatomische Definition ist hämodynamisch und pathologisch-anatomisch gerechtfertigt. Hämodynamisch handelt es sich um die Gefäßabschnitte, die vor der Aufteilung des Blutstroms für cerebrale und extracerebrale Versorgungsgebiete liegen: Um die gemeinsame cerebro-kranielle Strombahn (A. carotis communis) und die gemeinsame cerebro-brachiale Strombahn (A. subclavia) sowie den Tr. braehiocephalicus. Hier lokalisierte Strömungshindernisse können kombinierte Durchblutungsstörungen an Arm, Schädel und Gehirn hervorrufen, während weiter distal lokalisierte Verschlußprozesse nur isoliert eines der genannten Versorgungsgebiete betreffen.

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    L. Heilmeyer

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    A.-F. Muller

  3. Zürich, Switzerland

    A. Prader

  4. Göttingen, Deutschland

    R. Schoen

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Rau, G. (1970). Verschlußsyndrom der Aortenbogenäste oder Aortenbogen-Syndrom. In: Heilmeyer, L., Muller, AF., Prader, A., Schoen, R. (eds) Ergebnisse der Inneren Medizin und Kinderheilkunde. Ergebnisse der Inneren Medizin und Kinderheilkunde, vol 29. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95138-1_3

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