Ito Naoki, Tsunoda Taro, Nakamura Masato, Iijima Raisuke, Matsuda Ken-Ichi, Suzuki Tomotake, Takagi Takuro, Hirai Hironori, Yamaguchi Tetsu
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine, Tokyo, Japan.
Catheter Cardiovasc Interv. 2003 Jan;58(1):95-100. doi: 10.1002/ccd.10386.
We describe a case of Stanford type B acute aortic dissection causing visceral ischemia. An aortogram showed an hourglass-like narrowing of the true lumen at the diaphragm with a 60 mm Hg pressure gradient. Placement of a self-expanding metallic Z-stent under intravascular ultrasound guidance restored blood flow to the viscera.
我们描述了一例导致内脏缺血的B型急性主动脉夹层病例。主动脉造影显示在膈肌处真腔呈沙漏样狭窄，压力梯度为60毫米汞柱。在血管内超声引导下置入自膨式金属Z形支架后恢复了内脏血流。
