Carotid artery stenosis Health Dictionary

Carotid Artery Stenosis: From 1 Different Sources


(carotid stenosis) narrowing of the carotid artery, which reduces the supply of blood to the brain and is a cause of strokes. It is treated by surgical excision or bypass of the narrowed segment (see also endarterectomy) or by inserting a *stent into the carotid artery.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Aortic Stenosis

Narrowing of the AORTIC VALVE in the HEART which obstructs the ?ow of blood through it, with serious effects on the heart and the circulation. The muscle in the left ventricle works harder to compensate for the obstruction and thickens as a result. Stenosis is usually caused by the deposition of calcium on the valve and is commonly associated with ATHEROMA. Untreated, the condition leads to heart failure, but nowadays the stenosis can be treated surgically.... aortic stenosis

Pulmonary Stenosis

A disorder of the HEART in which obstruction of the out?ow of blood from the right ventricle occurs. Narrowing of the pulmonary valve at the exit of the right ventricle and narrowing of the pulmonary artery may cause obstruction. The condition is usually congenital, although it may be caused by RHEUMATIC FEVER. In the congenital condition, pulmonary stenosis may occur with other heart defects and is then known as Fallot’s tetralogy. Breathlessness and enlargement of the heart and eventual heart failure may be the consequence of pulmonary stenosis. Surgery is usually necessary to remove the obstruction.... pulmonary stenosis

Pyloric Stenosis

Narrowing of the PYLORUS, the muscular exit from the STOMACH. It is usually the result of a pyloric ulcer or cancer near the exit of the stomach. Food is delayed when passing from the stomach to the duodenum and vomiting occurs. The stomach may become distended and peristalsis (muscular movement) may be seen through the abdominal wall. Unless surgically treated the patient will steadily deteriorate, losing weight, becoming dehydrated and developing ALKALOSIS.

A related condition, congenital hypertrophic pyloric stenosis, occurs in babies (commonly boys) about 3–5 weeks old, and surgery produces a complete cure.... pyloric stenosis

Stenosis

An unnatural narrowing in any passage or ori?ce of the body. The word is especially used in connection with the four openings of the HEART at which the valves are situated. (See HEART, DISEASES OF.)... stenosis

Carotid Body

A small reddish-brown structure measuring 5–7 × 2·5–4 millimetres, situated one on each side of the neck, where the carotid artery divides into the internal and external carotid arteries. Its main function is in controlling breathing so that an adequate supply of oxygen is maintained to the tissues of the body. Oxygen levels are controlled by a re?ex operating between the carotid body and the respiratory centre in the brain.... carotid body

Mitral Stenosis

Narrowing of the opening between the left ATRIUM and left VENTRICLE of the HEART as a result of rigidity of, and adhesion between, the cusps of the MITRAL VALVE. It is due, almost invariably, to the infection RHEUMATIC FEVER. The atrium has to work harder to force blood through the narrowed channel. The effects are similar to those of MITRAL INCOMPETENCE. Shortness of breath and palpitations and irregular beating (?brillation) of the atrium are common consequences in adults. Drug treatment with DIGOXIN and DIURETICS helps, but surgery to dilate or replace the faulty valve may be necessary.... mitral stenosis

Radial Artery

This artery arises from the brachial artery at the level of the neck of the radius. It passes down the forearm to the wrist, where it is easily palpated laterally. It then winds around the wrist to the palm of the hand to supply the ?ngers. (See ARTERIES.)... radial artery

Temporal Artery

A branch of the external carotid artery that is the main vessel supplying blood to the temple and scalp.... temporal artery

Tricuspid Stenosis

The normal working of the TRICUSPID VALVE in the HEART is impeded by a narrowing of the opening, often as a sequel of RHEUMATIC FEVER. As with TRICUSPID INCOMPETENCE, heart failure may result and treatment is similar, with surgery to repair or replace the faulty valve an option.... tricuspid stenosis

Brachial Artery

The artery that runs down the inner side of the upper arm, between the armpit and the elbow.... brachial artery

Artery

A blood vessel that carries blood away from the heart. Systemic arteries carry blood pumped from the left ventricle of the heart to all parts of the body except the lungs. The largest systemic artery is the aorta, which emerges from the left ventricle; other major systemic arteries branch off from the aorta. The pulmonary arteries carry blood from the right ventricle to the lungs.

Arteries are tubes with thick, elastic, muscular walls able to withstand the high pressure of blood flow. The structure of arteries helps to even out the peaks and troughs of blood pressure caused by the heartbeat, so that the blood is kept flowing at a relatively constant pressure. (See also arteries, disorders of.)... artery

Carotid Artery

Any of the main arteries of the neck and head. There are 2 common carotid arteries (left and right), each of which divides into 2 main branches (internal and external).

The left carotid arises from the aorta and runs up the neck on the left side of the trachea (windpipe). The right carotid arises from the subclavian artery (which branches off the aorta) and follows a similar route on the right side of the

neck. Just above the level of the larynx (voice-box), each carotid artery divides to form an external carotid artery and an internal carotid artery. The external arteries have multiple branches that supply most tissues in the face, scalp, mouth, and jaws; the internal arteries enter the skull to supply the brain and eyes. At the base of the brain, branches of the 2 internal carotids and the basilar artery join to form a ring of vessels called the circle of Willis. Narrowing of these vessels may be associated with transient ischaemic attack (TIA); obstruction of them causes a stroke. carpal tunnel syndrome Numbness, tingling, and pain in the thumb, index finger, and middle fingers caused by compression of the median nerve at the wrist. Symptoms may be worse at night. The condition results from pressure on the nerve where it passes into the hand via a gap (the “carpal tunnel’’) under a ligament at the front of the wrist. It is common among keyboard users. It also occurs without obvious cause in middleaged women, and is associated with pregnancy, initial use of oral contraceptives, premenstrual syndrome, rheumatoid arthritis, myxoedema, and acromegaly.

The condition often disappears without treatment.

Persistent symptoms may be treated with a corticosteroid drug injected under the ligament, or the ligament may be cut to relieve pressure on the nerve.... carotid artery

Coronary Artery Disease

Narrowing of the coronary arteries, which supply blood to the heart, leading to damage or malfunction of the heart. The most common heart disorders due to coronary artery disease are angina pectoris and myocardial infarction (heart attack). The usual cause of narrowing of the arteries is atherosclerosis, in which fatty plaques develop on the artery linings. The vessel can become totally blocked if a blood clot forms or lodges in the narrowed area. Atherosclerosis has many interrelated causes including smoking, a high-fat diet, lack of exercise, being overweight, and raised blood cholesterol levels. Other factors include a genetic predisposition and diseases such as diabetes mellitus and hypertension.

The first symptom of coronary artery disease is frequently the chest pain of angina. Treatment is with drugs such as glyceryl trinitrate and other nitrate drugs, beta-blockers, calcium channel blockers, potassium channel activators, and vasodilator drugs. If drug treatment fails to relieve the symptoms, or there is extensive narrowing of the coronary

arteries, blood flow may be improved by balloon angioplasty or coronary artery bypass surgery.... coronary artery disease

Femoral Artery

A major blood vessel that supplies oxygenated blood to the leg. The femoral artery is formed in the pelvis from the iliac artery (the terminal branch of the aorta). It then runs from the groin, down in front of the thigh, and passes behind the knee to become the popliteal artery, which branches again to supply the lower leg.... femoral artery

Retinal Artery Occlusion

Blockage of an artery supplying blood to the retina, most commonly due to thrombosis or embolism, The disorder can result in permanent blindness or loss of part of the field of vision, depending on the artery affected and whether or not the condition can be treated quickly enough.... retinal artery occlusion

Coronary Artery Vein Bypass Grafting (cavbg)

When coronary arteries, narrowed by disease, cannot supply the heart muscle with su?cient blood, the cardiac circulation may be improved by grafting a section of vein from the leg to bypass the obstruction. Around 10,000 people in the United Kingdom have this operation annually and the results are usually good. It is a major procedure that lasts several hours and requires the heart to be stopped temporarily, with blood circulation and oxygenation taken over by a HEART-LUNG MACHINE.... coronary artery vein bypass grafting (cavbg)

Intracoronary Artery Stenting

A narrowed or blocked coronary artery (see ARTERIES) can compromise the blood supply to the heart muscle (see HEART, DISEASES OF). A supportive tube or stent passed into each affected artery can restore the blood supply. The stent has a HEPARIN coating to stop blood clots from forming. Since it was ?rst performed in 1987, intracoronary stents have cut the reblockage rate from one in three patients who have had coronary ANGIOPLASTY to fewer than one in ten in cases where a stent was used with angioplasty.... intracoronary artery stenting

Anal Stenosis

A tightness of the anus, sometimes referred to as anal stricture.

Anal stenosis prevents the normal passage of faeces, causing constipation and pain during defaecation.

The condition may be present from birth, or may be caused by a number of conditions in which scarring has occurred, such as anal fissure, colitis, or cancer of the anus.

Anal stenosis sometimes occurs after surgery on the anus (for example, to treat haemorrhoids).

The condition is treated by anal dilatation.... anal stenosis

Coronary Artery

Either of the 2 main arteries that supply the tissues of the heart with oxygen-rich blood. These are

known as the left and right main coronary arteries and arise directly from the aorta. The term coronary artery is also applied to any of the arteries that branch off from the main coronary arteries, such as the left circumflex artery and the left anterior descending artery. Blockage of a coronary artery as a result of atherosclerosis can lead to myocardial infarction.

(See also coronary artery disease.)... coronary artery

Coronary Artery Bypass

A major heart operation to bypass narrowed or blocked coronary arteries using additional blood vessels (such as a mammary artery) to improve blood flow to the heart muscle. This operation is used when symptoms of coronary artery disease have not been relieved by drugs or balloon angioplasty.

Before surgery, sites of blockage in the arteries are identified using angiography. In some cases, minimally invasive surgery can be used, avoiding the need to stop the heart and use a heart–lung machine during the operation. The long term outlook after a bypass is good, but the grafted vessels may also eventually become blocked by atherosclerosis.... coronary artery bypass

Basilar Artery

an artery in the base of the brain, formed by the union of the two vertebral arteries. It extends from the lower to the upper border of the pons Varolii and then divides to form the two posterior cerebral arteries.... basilar artery

Brachiocephalic Artery

see innominate artery.... brachiocephalic artery

Carotid Sinus

a pocket in the wall of the carotid artery, at its division in the neck, containing receptors that monitor blood pressure (see baroreceptor). When blood pressure is raised, impulses travel from the receptors to the vasomotor centre in the brain, which initiates a reflex *vasodilatation and slowing of heart rate to lower the blood pressure to normal.... carotid sinus

Coronary Artery Bypass Graft

(CABG) *coronary revascularization in which a segment of a coronary artery narrowed by atheroma is bypassed by an *autologous section of healthy saphenous vein or internal mammary artery at *thoracotomy. The improved blood flow resulting from one or more such grafts relieves *angina pectoris and reduces the risk of *myocardial infarction. Recently developed techniques of *minimally invasive surgery have enabled the operation to be performed without the need for thoracotomy.... coronary artery bypass graft

End Artery

the terminal branch of an artery, which does not communicate with other branches. The tissue it supplies is therefore probably completely dependent on it for its blood supply.... end artery

Hyaloid Artery

a fetal artery lying in the *hyaloid canal of the eye and supplying the lens.... hyaloid artery

Innominate Artery

(brachiocephalic artery) a short artery originating as the first large branch of the *aortic arch, passing upwards to the right, and ending at the lower neck near the right sternoclavicular joint. Here it divides into the right common carotid and the right subclavian arteries.... innominate artery

Pulmonary Artery

the artery that conveys blood from the heart to the lungs for oxygenation: the only artery in the body containing deoxygenated blood. It leaves the right ventricle and passes upwards for 5 cm before dividing into two, one branch going to each lung. Within the lungs each pulmonary artery divides into many fine branches, which end in capillaries in the alveolar walls. See also pulmonary circulation.... pulmonary artery

Renal Artery

either of two large arteries arising from the abdominal aorta and supplying the kidneys. Each renal artery divides into an anterior and a posterior branch before entering the kidney.... renal artery

Spermatic Artery

either of two arteries that originate from the abdominal aorta and travel downwards to supply the testes.... spermatic artery

Sphenopalatine Artery Ligation

(SPA) a surgical procedure to identify and occlude the sphenopalatine artery in the nose using endoscopic surgery. It is used in the treatment of severe epistaxis (nosebleed).... sphenopalatine artery ligation

Subclavian Artery

either of two arteries supplying blood to the neck and arms. The right subclavian artery branches from the innominate artery; the left subclavian arises directly from the aortic arch.... subclavian artery

Ulnar Artery

a branch of the brachial artery arising at the elbow and running deep within the muscles of the medial side of the forearm. It passes into the palm of the hand, where it unites with the arch of the radial artery and gives off branches to the hand and fingers.... ulnar artery

Uterine Artery Embolization

a method of embolizing the uterine artery under radiodiagnostic control (see embolization). It has been successful in controlling postpartum haemorrhage and can also be used in treating fibroids, correcting arterial or venous malformations of the genital tract, and terminating abdominal and cervical pregnancies.... uterine artery embolization



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