Fröhlich H, Scheppokat K D
Abteilung für Röntgendiagnostik, Robert-Koch-Krankenhaus, Gehrden.
Rontgenblatter. 1990 Dec;43(12):533-5.
The outcome of an aortic dissection is either endothelialisation of the false lumen forming a so-called double aorta, or thrombosis of the sack leading to fibrosis. Healing of an aortic dissection, particularly if thrombosis and organisation have obliterated the dissected segment, is rare and there are only a few case reports on this finding. We report on a case where spontaneous resolution of the false lumen of Type B aortic dissection was demonstrated by serial contrast enhanced computed tomography after antihypertensive medical treatment.
主动脉夹层的转归要么是假腔内皮化形成所谓的双主动脉，要么是瘤腔血栓形成导致纤维化。主动脉夹层的愈合，尤其是在血栓形成和机化使夹层段闭塞的情况下，非常罕见，关于这一发现仅有少数病例报告。我们报告一例，在降压药物治疗后，通过系列对比增强计算机断层扫描证实了B型主动脉夹层假腔的自发消退。
