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累及右冠状动脉的胸主动脉近致命性急性夹层。

Near-fatal acute dissection of the thoracic aorta involving the right coronary artery.

作者信息

Chevalley C, Montessuit M, Murith N, Licker M

机构信息

Division of Anesthesiology, University Hospital, Geneva, Switzerland.

出版信息

Ann Vasc Surg. 2000 Sep;14(5):507-9. doi: 10.1007/s100169910094.

DOI:10.1007/s100169910094
PMID:10990563
Abstract

Aortic dissection is the most common acute disease involving the ascending aorta and carries a high mortality rate if surgical therapy is not initiated rapidly following the onset of symptoms. Therefore, timely recognition of this disease entity coupled with urgent and appropriate management is the key to a successful outcome. We describe a patient with aortic dissection extending into the right coronary artery (RCA) who was successfully resuscitated and operated on following a cardiac arrest during transfer to the operating room.

摘要

主动脉夹层是累及升主动脉最常见的急性疾病,如果在症状出现后不迅速启动手术治疗,死亡率很高。因此,及时识别这种疾病实体并进行紧急且恰当的处理是取得成功治疗结果的关键。我们描述了一名主动脉夹层延伸至右冠状动脉(RCA)的患者,该患者在转送至手术室的过程中发生心脏骤停后成功复苏并接受了手术。

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