Sakaguchi H, Kei J, Takaji K, Tazume H, Miyagi H
Department of Cardiovascular Surgery, Kumamoto National Hospital, Kumamoto, Japan.
Kyobu Geka. 2002 Nov;55(12):1061-4.
The formation of 2 adjacent lumens is rarely observed in aortic dissection. We report herein a case of ruptured 3-channeled aortic dissection in a short time of hospitalization. A 58-year-old man who had been followed up for aortic dissection (Stanford type B) was admitted to Kumamoto National Hospital with an abdominal pain and a lumbago. A computed tomography (CT) revealed that a 3-channeled aortic dissection from the aortic arch to the right common iliac artery. An intramural hematoma was generated in the abdominal aorta and the left kidney was not enhanced. We initially adopted conservative therapies. But on the next day, he suddenly complained a severe back pain and died. At autopsy, the thoracic aorta was found to have ruptured into the mediastinum, and massive hematoma was formed.
在主动脉夹层中很少观察到两个相邻管腔的形成。我们在此报告一例在短时间住院期间发生破裂的三通道主动脉夹层病例。一名因主动脉夹层（斯坦福B型）接受随访的58岁男性因腹痛和腰痛入住熊本国立医院。计算机断层扫描（CT）显示从主动脉弓到右髂总动脉存在三通道主动脉夹层。腹主动脉内形成了壁内血肿，左肾未强化。我们最初采取了保守治疗。但第二天，他突然抱怨严重背痛并死亡。尸检发现胸主动脉已破裂进入纵隔，并形成了大量血肿。
