Frýdl V, Závodská H
Prosektur des Bezirkskrankenhauses Haar, Deutschland.
Zentralbl Pathol. 1991;137(5):418-24.
Dissecting aneurysms of the aorta, taking a chronic course are rare. We describe a case of a female patient who died at the age of 75 years. The left intercostal and lumbar arteries and the left renal artery originated from the aneurysmatic cleft in the aortic wall whereas the corresponding right hand-side arteries originated from the proper aortic lumen. The proximal part of the left common carotid artery was compressed by the aneurysm. The dissecting aneurysm extended into the left common and external iliac arteries. It became obvious from the history of the patient and repeated x-rays of the chest, that the aneurysm had existed 35 months before death. Our case is similar to that published by Busse in 1906. No such cases have been published in recent years. This is an indication of the acute fatal outcome of most of the dissecting aneurysms of the aorta.
病程呈慢性的主动脉夹层动脉瘤较为罕见。我们描述了一例75岁女性患者的病例。左肋间动脉、腰动脉和左肾动脉起源于主动脉壁的动脉瘤裂，而相应的右侧动脉起源于主动脉固有管腔。左颈总动脉近端被动脉瘤压迫。夹层动脉瘤延伸至左髂总动脉和髂外动脉。从患者病史及多次胸部X光片可以明显看出，动脉瘤在患者死亡前35个月就已存在。我们的病例与1906年布塞发表的病例相似。近年来尚未有此类病例发表。这表明大多数主动脉夹层动脉瘤的预后凶险。
