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升主动脉急性夹层动脉瘤致右肺动脉闭塞。

Right pulmonary artery occlusion by an acute dissecting aneurysm of the ascending aorta.

作者信息

De Silva Ravi J, Hosseinpour Reza, Screaton Nicholas, Stoica Serban, Goodwin Andrew T

机构信息

Papworth Hospital NHS Trust, Papworth Everard, Cambridgeshire CB3 8RE, UK.

出版信息

J Cardiothorac Surg. 2006 Sep 28;1:29. doi: 10.1186/1749-8090-1-29.

DOI:10.1186/1749-8090-1-29
PMID:17007637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1592293/
Abstract

We describe the case of a 76-year old female who presented with a Type A aortic dissection requiring repair with an interposition graft and aortic valve replacement. Post-operatively she had clinical features and computerised tomographic images suggestive of a pulmonary embolus and died 24 hours later. The extremely rare finding of intramural thrombus occluding the right pulmonary artery was seen at post mortem.

摘要

我们描述了一例76岁女性患者的病例,该患者患有A型主动脉夹层,需要进行血管移植修复和主动脉瓣置换。术后,她出现了提示肺栓塞的临床特征和计算机断层扫描图像,并于24小时后死亡。尸检时发现了极其罕见的壁内血栓阻塞右肺动脉的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e91/1592293/55962536d852/1749-8090-1-29-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e91/1592293/55962536d852/1749-8090-1-29-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e91/1592293/55962536d852/1749-8090-1-29-2.jpg

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本文引用的文献

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Tex Heart Inst J. 2001;28(2):149-51.
2
Ascending aortic dissection causing unilateral absence of perfusion on lung scanning.升主动脉夹层导致肺扫描显示单侧灌注缺失。
Clin Nucl Med. 1993 Nov;18(11):941-4. doi: 10.1097/00003072-199311000-00001.
3
Unilateral pulmonary edema related to pulmonary artery compression resulting from acute dissecting aortic aneurysm.
急性A型主动脉夹层导致右肺动脉受压并引发急性右心室心力衰竭:一例报告
J Cardiovasc Thorac Res. 2024;16(1):60-63. doi: 10.34172/jcvtr.32947. Epub 2024 Mar 13.
4
Successful treatment of aortic dissection with pulmonary embolism: A case report.成功治疗合并肺栓塞的主动脉夹层:一例报告。
World J Clin Cases. 2022 Jun 6;10(16):5394-5399. doi: 10.12998/wjcc.v10.i16.5394.
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Rupture of an acute ascending aortic dissection causing right pulmonary artery occlusion.急性升主动脉夹层破裂导致右肺动脉闭塞。
BJR Case Rep. 2022 Mar 9;7(6):20210043. doi: 10.1259/bjrcr.20210043. eCollection 2022 Mar.
6
Unilateral Left Pulmonary Edema Caused by Contained Rupture of the Ascending Aortic Dissection.升主动脉夹层破裂致局限性左侧肺水肿。
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急性主动脉夹层动脉瘤导致肺动脉受压相关的单侧肺水肿。
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