急性A型主动脉夹层伴主动脉瓣环脓肿

Acute type A aortic dissection associated with an aortic annular abscess.

作者信息

Niitsuma Y, Takahara Y, Sudo Y, Nakano H

机构信息

Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan.

出版信息

Ann Thorac Surg. 2001 Dec;72(6):2136-7. doi: 10.1016/s0003-4975(01)02660-1.

DOI:10.1016/s0003-4975(01)02660-1

PMID:11789818

Abstract

We describe a 66-year-old woman who underwent open heart surgery because of congestive heart failure. During operation, we found a Stanford type A dissection and an aortic ring abscess, which had burst into the aortic lumen. No other entries were found. Pathological examination showed excessive neutrophil infiltration in the aortic root. We strongly suspect that the abscess produced the intimal tear to cause the aortic dissection.

摘要

我们描述了一位因充血性心力衰竭接受心脏直视手术的66岁女性。手术过程中，我们发现了一例A型主动脉夹层和一个已破入主动脉腔的主动脉环脓肿。未发现其他破口。病理检查显示主动脉根部有大量中性粒细胞浸润。我们强烈怀疑脓肿导致内膜撕裂，进而引起主动脉夹层。