降主动脉因主动脉内膜肉瘤坏死而破裂。
The rupture of descending thoracic aorta due to the necrosis of aortic intimal sarcoma.
作者信息
Tanaka Mutsuo, Tabata Minoru, Shimokawa Tomoki, Takanashi Shuichiro
机构信息
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu-si, Tokyo, Japan.
出版信息
Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):462-3. doi: 10.1510/icvts.2009.226753. Epub 2009 Dec 29.
Aortic intimal sarcoma is rare and the prognosis is very poor. We experienced a case of ruptured aortic intimal sarcoma in the descending aorta. A 69-year-old man underwent an emergency operation for the rupture of descending aorta. The postoperative course was uneventful. The histological examination of aortic wall showed aortic intimal sarcoma. The patient developed a local recurrence and abdominal dissemination of the tumor three months after surgery. We report the case and discuss about the diagnosis and treatment of thoracic aortic intimal sarcoma.
主动脉内膜肉瘤罕见，预后极差。我们遇到一例降主动脉内膜肉瘤破裂的病例。一名69岁男性因降主动脉破裂接受了急诊手术。术后病程平稳。主动脉壁组织学检查显示为主动脉内膜肉瘤。患者术后三个月出现肿瘤局部复发及腹部播散。我们报告该病例并讨论胸主动脉内膜肉瘤的诊断和治疗。
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