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巨细胞动脉炎所致主动脉夹层。

Aortic dissection caused by giant cell arteritis.

作者信息

Strecker Thomas, Zimmermann Stephan, Wachter David-Lukas, Agaimy Abbas

机构信息

Center of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Krankenhausstrasse 12, Erlangen, Germany.

出版信息

Heart Surg Forum. 2011 Apr;14(2):E137-8. doi: 10.1532/HSF98.20101114.

Abstract

Aortic dissection is a very serious condition mainly caused by degenerative diseases of the connective tissue and hypertension. Ascending aortic dissection as a consequence of aortitis in association with giant cell arteritis is very rarely seen. In this article we report on the successful surgical repair of a Stanford type A aortic dissection caused by giant cell arteritis in a 74-year-old patient. We could visualize this dissection via echocardiography and computed tomography. Histopathology confirmed this rare complication of giant cell aortitis.

摘要

主动脉夹层是一种非常严重的疾病,主要由结缔组织退行性疾病和高血压引起。与巨细胞动脉炎相关的主动脉炎导致的升主动脉夹层非常罕见。在本文中,我们报告了一名74岁患者因巨细胞动脉炎导致的斯坦福A型主动脉夹层的成功手术修复。我们可以通过超声心动图和计算机断层扫描观察到这种夹层。组织病理学证实了巨细胞性主动脉炎的这种罕见并发症。

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