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以右侧胸腔积液为表现的无症状性胸主动脉破裂的延迟诊断。

Late diagnosis of silent thoracic aortic rupture presented as a right pleural effusion.

作者信息

Kanakis Meletios A, Papavassiliou Vassilios G, Drosos Polivios, Kaperonis Elias A, Benakis George, Lioulias Achilleas G

机构信息

Thoracic Surgery Department, Sismanoglio General Hospital, 1 Sismanogliou Street, Marousi, 151 26 Athens, Greece.

出版信息

Case Rep Med. 2012;2012:906250. doi: 10.1155/2012/906250. Epub 2012 Dec 20.

DOI:10.1155/2012/906250
PMID:23319958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3539670/
Abstract

Patients with ruptured thoracic aortic aneurysm rarely present in a stable clinical condition. A man was referred to our hospital with the diagnosis of ruptured saccular aneurysm of the descending thoracic aorta. He successfully underwent both endovascular graft repair and open thoracotomy.

摘要

胸主动脉瘤破裂的患者很少以稳定的临床状态就诊。一名男性因降主动脉囊状动脉瘤破裂被转诊至我院。他成功接受了血管内支架修复术和开胸手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480f/3539670/7928eaf5cfd0/CRIM2012-906250.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480f/3539670/1a6e1ba9ecef/CRIM2012-906250.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480f/3539670/7928eaf5cfd0/CRIM2012-906250.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480f/3539670/1a6e1ba9ecef/CRIM2012-906250.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/480f/3539670/7928eaf5cfd0/CRIM2012-906250.002.jpg

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本文引用的文献

1
Thoracic endovascular aortic repair: evolution of therapy, patterns of use, and results in a 10-year experience.胸主动脉腔内修复术：10 年经验的治疗演变、应用模式和结果。
J Thorac Cardiovasc Surg. 2011 Sep;142(3):587-94. doi: 10.1016/j.jtcvs.2011.02.050. Epub 2011 Jul 20.
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Spontaneous hemothorax: a comprehensive review.自发性血胸：综述
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Endovascular versus open repair for blunt thoracic aortic injury: short-term results.钝性胸主动脉损伤的血管内修复与开放修复：短期结果
Ann Thorac Surg. 2007 Dec;84(6):1965-70. doi: 10.1016/j.athoracsur.2007.07.061.
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Unusual presentation of ruptured descending thoracic aortic aneurysm.降主动脉瘤破裂的不寻常表现。
J Cardiovasc Med (Hagerstown). 2007 Apr;8(4):291-2. doi: 10.2459/01.JCM.0000263504.80110.33.
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Tension hemothorax caused by a ruptured aneurysm of the descending thoracic aorta: report of a a case.降主动脉瘤破裂导致张力性血胸：一例报告
Surg Today. 2000;30(6):558-60. doi: 10.1007/s005950070129.
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Chronic aneurysm of the descending thoracic aorta presenting with right pleural effusion and left phrenic paralysis.降主动脉慢性动脉瘤伴右侧胸腔积液和左侧膈神经麻痹。
Tex Heart Inst J. 1999;26(1):96-8.
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Rupture of aortic aneurysm with right-sided haemothorax.主动脉瘤破裂伴右侧血胸。
Eur Respir J. 1999 Feb;13(2):465-7. doi: 10.1183/09031936.99.13246599.
8
A case of ruptured descending thoracic aortic aneurysm into the right pleural cavity: importance of preoperative drainage of the right pleural cavity.一例降主动脉瘤破裂入右侧胸腔：右侧胸腔术前引流的重要性
J Cardiovasc Surg (Torino). 1998 Dec;39(6):869-71.
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Computerized tomographic diagnosis of aneurysms of the thoracic aorta.
Comput Tomogr. 1979;3(2):81-91. doi: 10.1016/0363-8235(79)90002-4.