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自发性肺动脉壁内血肿，类似血栓栓塞。

Spontaneously developed pulmonary arterial intramural hematoma that mimicked thromboembolism.

机构信息

Department of Radiology, Dong-A University College of Medicine, Busan 602-714, Korea.

出版信息

Korean J Radiol. 2012 Jul-Aug;13(4):496-9. doi: 10.3348/kjr.2012.13.4.496. Epub 2012 Jun 18.

DOI:10.3348/kjr.2012.13.4.496
PMID:22778573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3384833/
Abstract

A 65-year-old woman visited our hospital with a complaint of acute onset dyspnea and radiological manifestations of pulmonary thromboembolism. The patient underwent an exploratory surgery to find a whitish-blue colored mass occupying almost the whole lumen of the main pulmonary arteries. Based on the pathological and radiological findings, the patient was diagnosed to have a pulmonary arterial intramural hematoma. Intramural hematomas are usually observed in the walls of the aorta, and we believe that an isolated intramural hematoma in the pulmonary artery has not been described previously.

摘要

一位 65 岁女性因急性发作性呼吸困难和肺部血栓栓塞的影像学表现就诊于我院。患者接受了探查性手术，发现一个灰白色的蓝色肿块几乎占据了主肺动脉的整个腔。根据病理和影像学检查结果，患者被诊断为肺动脉壁内血肿。壁内血肿通常在主动脉壁中观察到，我们认为此前尚未描述过孤立性肺动脉壁内血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ae1/3384833/3ca8226b5785/kjr-13-496-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ae1/3384833/3ca8226b5785/kjr-13-496-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ae1/3384833/3ca8226b5785/kjr-13-496-g001.jpg

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本文引用的文献

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Idiopathic pulmonary artery dissection: a case report.特发性肺动脉夹层：一例报告
J Med Case Rep. 2009 Jul 23;3:7426. doi: 10.4076/1752-1947-3-7426.
2
Ascending aortic dissecting aneurysm with isolated right pulmonary arterial medial intramural hematoma.升主动脉夹层动脉瘤伴孤立性右肺动脉中膜壁内血肿。
Ann Thorac Surg. 2008 Jun;85(6):2127-8. doi: 10.1016/j.athoracsur.2007.12.054.
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Dissecting aneurysm of the pulmonary trunk in mitral stenosis.二尖瓣狭窄合并肺动脉干夹层动脉瘤
Heart Asia. 2013 Jun 13;5(1):94-5. doi: 10.1136/heartasia-2013-010332. eCollection 2013.
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Dissecting aneurysm of the pulmonary artery with pulmonary hypertension.肺动脉夹层动脉瘤伴肺动脉高压
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The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis.美国风湿病学会1990年大动脉炎分类标准。
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