升主动脉穿透性动脉粥样硬化性溃疡合并心脏压塞及主动脉瓣反流。

Penetrating atherosclerotic ulcer at the proximal aorta complicated with cardiac tamponade and aortic valve regurgitation.

作者信息

Yano K, Makino N, Hirayama H, Hatakenaka M, Matsui H, Soeda T, Hadama T

机构信息

Department of Bioclimatology and Medicine, Medical Institute of Bioregulation, Kyushu University, Beppu, Japan.

出版信息

Jpn Circ J. 1999 Mar;63(3):228-30. doi: 10.1253/jcj.63.228.

DOI:10.1253/jcj.63.228

PMID:10201627

Abstract

A 56-year-old man had a penetrating atherosclerotic ulcer originating in the proximal ascending aorta, which is an unusual case of penetrating aortic ulcer complicated with the aortic valve regurgitation and cardiac tamponade. This hemodynamically unstable patient was successfully treated by conservative management to control his blood pressure and was also monitored closely with follow-up imaging studies.

摘要

一名56岁男性患有起源于升主动脉近端的穿透性动脉粥样硬化溃疡，这是一例罕见的穿透性主动脉溃疡合并主动脉瓣反流及心脏压塞的病例。这位血流动力学不稳定的患者通过控制血压的保守治疗获得成功，并且通过后续影像学检查进行密切监测。