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广泛的前胸壁瘀斑作为亚急性A型主动脉夹层的体征。

Extensive anterior chest wall ecchymosis as a sign of subacute type A aortic dissection.

作者信息

Yazici Pinar, Oz Kursad, Celik Omer, Erek Ersin

机构信息

Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Oct;15(4):797-9. doi: 10.1093/icvts/ivs204. Epub 2012 Jul 12.

DOI:10.1093/icvts/ivs204
PMID:22791789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3445349/
Abstract

A 66-year old man was admitted to the hospital with chest and back pain and wide chest wall ecchymosis. His medical history revealed no chest trauma or resuscitation, but coronary angiography had been performed 20 days previously. Subacute type A aortic dissection was diagnosed. The likely cause of an ecchymosis located in this way, correlated with vasculature of thoracic wall, was thought to be progression of the dissection through the arterial branches feeding the chest wall. Perioperative observation confirmed the diagnosis and a hemiarch replacement was performed with a good outcome.

摘要

一名66岁男性因胸痛、背痛及广泛的胸壁瘀斑入院。他的病史显示无胸部外伤或复苏史，但20天前曾行冠状动脉造影。诊断为亚急性A型主动脉夹层。这种位于胸壁血管分布区域的瘀斑，其可能的原因被认为是夹层通过供应胸壁的动脉分支进展所致。围手术期观察证实了诊断，并进行了半弓置换，效果良好。

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本文引用的文献

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Eur J Cardiothorac Surg. 2011 Dec;40(6):1545. doi: 10.1016/j.ejcts.2011.03.043. Epub 2011 May 11.
2
Subacutely progressed extensive aortic dissection complicated with catheter-induced dissection in left main coronary artery.亚急性进展性广泛主动脉夹层合并左主干冠状动脉导管相关性夹层。
J Cardiol. 2009 Aug;54(1):128-33. doi: 10.1016/j.jjcc.2008.10.005. Epub 2008 Dec 4.
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Iatrogenic aortic dissection.医源性主动脉夹层
Am J Cardiol. 2002 Mar 1;89(5):623-6. doi: 10.1016/s0002-9149(01)02312-8.
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Iatrogenic coronary artery dissections extending into and involving the aortic root.医源性冠状动脉夹层延伸至并累及主动脉根部。
Catheter Cardiovasc Interv. 2000 Dec;51(4):387-93. doi: 10.1002/1522-726x(200012)51:4<387::aid-ccd3>3.0.co;2-b.
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Dissection of the aortic sinus of Valsalva complicating coronary catheterization: cause, mechanism, evolution, and management.冠状动脉导管插入术并发的瓦尔萨尔瓦窦主动脉夹层：病因、机制、演变及处理
Cathet Cardiovasc Diagn. 1998 Mar;43(3):273-9. doi: 10.1002/(sici)1097-0304(199803)43:3<273::aid-ccd7>3.0.co;2-6.