Nguyen Tuan Le, Rajaratnam Rohan
Department of Cardiology, Liverpool Hospital, Liverpool BC, Australia.
BMJ Case Rep. 2011 Jun 3;2011:bcr0220113824. doi: 10.1136/bcr.02.2011.3824.
Acute type I aortic dissection is an uncommon but potentially fatal condition requiring prompt recognition of symptoms and generally surgical intervention. A history of chronic hypertension is the major predisposing risk factor for aortic dissection. Commonly patients experience acute chest pain, but myocardial infarction or stroke due to the dissection involving the coronary or carotid arteries are rare and serious life-threatening complications. The authors describe the case of a 60-year-old male presenting with concomitant features of acute myocardial infarction and cerebrovascular accident resulting from an extensive acute aortic dissection.
急性I型主动脉夹层是一种罕见但可能致命的疾病，需要迅速识别症状并通常进行手术干预。慢性高血压病史是主动脉夹层的主要易感风险因素。患者通常会经历急性胸痛，但夹层累及冠状动脉或颈动脉导致的心肌梗死或中风很少见，且是严重的危及生命的并发症。作者描述了一例60岁男性患者的病例，该患者因广泛的急性主动脉夹层同时出现急性心肌梗死和脑血管意外的特征。
