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[急性主动脉夹层导致右心室流出道血肿酷似浸润性肿瘤]

[Hematoma of right ventricular outflow tract mimicking an infiltrating tumor as a consequence of acute aortic dissection].

作者信息

Puccioni E, Verunelli F, Baldini U, Ballestra A M

机构信息

U.O. di Malattie Cardiovascolari, Ospedale Civile, Volterra, Pisa.

出版信息

Ital Heart J Suppl. 2001 Apr;2(4):418-20.

Abstract

The aortic dissection may be associated with unusual complications such as fistula formation and vascular compression. We describe a case of a 71-year-old patient admitted to our Hospital because of acute chest pain; transthoracic and transesophageal echocardiography revealed the presence of a type A aortic dissection associated with a mass infiltrating the right ventricular outflow and proximal tract of the pulmonary artery. The ultrasonographic morphology and the surgical findings showed the presence of a hematoma which was consequent to acute aortic dissection and which mimicked a tumor infiltrating the right ventricular outflow.

摘要

主动脉夹层可能伴有诸如瘘管形成和血管受压等异常并发症。我们描述了一例71岁因急性胸痛入住我院的患者;经胸和经食管超声心动图显示存在A型主动脉夹层,并伴有一个肿块浸润右心室流出道和肺动脉近端。超声形态学及手术所见显示存在一个血肿,这是急性主动脉夹层的结果,且该血肿酷似浸润右心室流出道的肿瘤。

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