Buchholz Stefan, Quaden René Bombien, Schmitz Christoph, Überfuhr Peter
Department of Cardiac Surgery, University of Munich, Grosshadern, Munich, Germany.
Interact Cardiovasc Thorac Surg. 2011 Sep;13(3):361-2. doi: 10.1510/icvts.2011.274076. Epub 2011 Jun 15.
Acute aortic dissection is a rare disease, but if it occurs rapid diagnosis and therapy are needed. It is usually seen in elderly patients with long-term persistent arterial hypertension. In younger patients, it is mainly caused by congenital connective tissue disorders, such as Marfan syndrome, or by trauma. We present here a 34-year-old male patient with an acute type A aortic dissection. This patient was a professional parachutist and had carried out a large number of parachute jumps during his lifetime. He was admitted to the emergency department with acute chest pain. The symptoms were not related in time to a parachute jump. During a computed tomography scan, an aortic dissection was diagnosed. The patient was immediately referred to the operating room, and the ascending aorta was replaced by a conduit. After a regular postoperative course, the patient was discharged and recovered completely. Although acute aortic dissection is rare in young patients, it has to be considered in cases of acute chest pain. An immediate diagnosis and adequate therapy are essential to offer the patient a good clinical outcome and long-term survival.
急性主动脉夹层是一种罕见疾病，但一旦发生，需要迅速诊断和治疗。它通常见于患有长期持续性动脉高血压的老年患者。在年轻患者中，主要由先天性结缔组织疾病引起，如马凡综合征，或由创伤导致。我们在此介绍一名34岁的男性急性A型主动脉夹层患者。该患者是一名职业跳伞运动员，一生中进行了大量跳伞。他因急性胸痛被收入急诊科。症状与跳伞时间无关。在计算机断层扫描期间，诊断出主动脉夹层。患者立即被送往手术室，升主动脉被人工血管置换。经过常规的术后过程，患者出院并完全康复。虽然急性主动脉夹层在年轻患者中很少见，但在急性胸痛病例中必须予以考虑。立即诊断和适当治疗对于为患者提供良好的临床结果和长期生存至关重要。
