升主动脉急性夹层动脉瘤导致右肺动脉阻塞和血栓形成。
Acute dissecting aneurysm of the ascending thoracic aorta causing obstruction and thrombosis of the right pulmonary artery.
作者信息
Neri E, Toscano T, Civeli L, Capannini G, Tucci E, Sassi C
机构信息
Thoracic and Cardiovascular Department, University Hospital, Siena, Italy.
出版信息
Tex Heart Inst J. 2001;28(2):149-51.
Abstract
We present the case of a 69-year-old man with a history of hypertension and a recent pelvic fracture who presented with acute chest pain, shortness of breath, and severe hypotension. The history of recent pelvic fracture and the clinical manifestations, including the sudden onset of acute respiratory distress, hypotension, and hypoxemia, indicated pulmonary embolism; however, at surgery the patient was found to have an acute dissection of the ascending aorta with obstruction and thrombosis of the right pulmonary artery. This case emphasizes the need to consider such a diagnosis in patients who have unilateral absence of perfusion to the right lung.
摘要
我们报告一例69岁男性病例，该患者有高血压病史，近期发生骨盆骨折，现出现急性胸痛、呼吸急促和严重低血压。近期骨盆骨折史以及包括急性呼吸窘迫、低血压和低氧血症突然发作在内的临床表现提示为肺栓塞；然而，手术时发现患者升主动脉急性夹层分离，右肺动脉阻塞并形成血栓。该病例强调，对于右肺单侧无灌注的患者，需要考虑这种诊断。
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