表现为孤立性截瘫的A型主动脉夹层。

Type A aortic dissection presenting with isolated paraplegia.

作者信息

Tsiouris Athanasios, Morgan Jeffrey A, Paone Gaetano

机构信息

Department of Surgery, Division of Cardiothoracic Surgery, Henry Ford Hospital, Heart and Vascular Institute, Detroit, MI 48202, USA.

出版信息

Heart Surg Forum. 2012 Dec;15(6):E316-7. doi: 10.1532/HSF98.20121097.

DOI:10.1532/HSF98.20121097

PMID:23262048

Abstract

Acute type A thoracic aortic dissections most commonly present with sudden onset of severe chest and/or back pain. We summarize the case of a patient with an acute type A dissection who presented with acute, painless paraplegia caused by malperfusion of the artery of Adamkiewicz. Although an uncommon cause of acute paraplegia, type A dissections should be included in the differential diagnosis.

摘要

急性A型胸主动脉夹层通常最常表现为突发的严重胸痛和/或背痛。我们总结了一例急性A型夹层患者的病例，该患者因Adamkiewicz动脉灌注不良出现急性无痛性截瘫。虽然急性截瘫的病因不常见，但A型夹层应列入鉴别诊断范围。