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A causa mais comum \u00e9 a aterosclerose. A ultrassonografia vascular com Doppler pode revelar invers\u00e3o de fluxo na art\u00e9ria vertebral direita, hipofluxo na subcl\u00e1via, e v\u00e1rios tipos de altera\u00e7\u00f5es no fluxo da car\u00f3tida direita, incluindo hipofluxo, invers\u00e3o parcial do fluxo durante o ciclo card\u00edaco, e at\u00e9 mesmo invers\u00e3o completa do fluxo na car\u00f3tida interna, achado este bastante raro. Os autores descrevem o caso de paciente do sexo feminino, tabagista, com estenose grave do tronco braquiocef\u00e1lico e crises de lipotimia. Al\u00e9m do roubo de art\u00e9ria subcl\u00e1via e do fluxo parcialmente invertido na car\u00f3tida comum direita, a paciente apresentava exuberante fluxo invertido na car\u00f3tida interna durante todo o ciclo card\u00edaco, achado este n\u00e3o encontrado na literatura em tamanha magnitude.<\/jats:p>","DOI":"10.1590\/1677-5449.190124","type":"journal-article","created":{"date-parts":[[2020,4,4]],"date-time":"2020-04-04T19:25:42Z","timestamp":1586028342000},"source":"Crossref","is-referenced-by-count":1,"title":["Invers\u00e3o total do fluxo em art\u00e9ria car\u00f3tida interna direita em paciente com estenose grave do tronco braquiocef\u00e1lico"],"prefix":"10.1590","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4656-0401","authenticated-orcid":false,"given":"Carlos Eduardo","family":"Del Valle","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Fernando 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