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主动脉夹层:何去何从?

Aortic dissection: to be or not to be?

作者信息

Baloria Kanwar Aditya, Dhir Achal, Pillai Biju, Selot Nandini

机构信息

Department of Cardiac Anesthesia, Max Healthcare Institute, 2 Press Enclave Road, Saket, New Delhi, India.

出版信息

Ann Card Anaesth. 2013 Apr-Jun;16(2):126-8. doi: 10.4103/0971-9784.109761.

DOI:10.4103/0971-9784.109761
PMID:23545867
Abstract

Patients with acute aortic dissection present with such varied symptoms that diagnosis becomes difficult. Various imaging techniques like computed tomography angiography (CTA), magnetic resonance imaging and ultrasonography are used to diagnose this entity, but they too have their limitations. We present a case, which was falsely diagnosed as acute aortic dissection by CTA, which resulted in patient undergoing sternotomy.

摘要

急性主动脉夹层患者的症状多种多样,这使得诊断变得困难。各种成像技术,如计算机断层扫描血管造影(CTA)、磁共振成像和超声检查,被用于诊断这一病症,但它们也有其局限性。我们报告一例病例,该病例被CTA误诊为急性主动脉夹层,导致患者接受了胸骨切开术。

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1
Aortic dissection: to be or not to be?主动脉夹层:何去何从?
Ann Card Anaesth. 2013 Apr-Jun;16(2):126-8. doi: 10.4103/0971-9784.109761.
2
Missed acute ascending aortic dissection.漏诊的急性升主动脉夹层。
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The utility of multiple imaging modalities to diagnose acute aortic dissection.多种成像方式在诊断急性主动脉夹层中的应用。
CJEM. 2008 Jan;10(1):75-80. doi: 10.1017/s1481803500010046.
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[Aortic dissection, sometimes a difficult diagnosis].[主动脉夹层,有时是一种难以诊断的疾病]
Ned Tijdschr Geneeskd. 1995 Apr 8;139(14):705-9.
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Circumferential involvement of an acute type B aortic dissection: a unique case.急性B型主动脉夹层的环形累及:1例独特病例
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Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection.伴有内膜套叠的环周剥离:一例不寻常的急性A型主动脉夹层病例。
Cardiovasc Surg. 2003 Apr;11(2):173-5. doi: 10.1016/s0967-2109(03)00003-6.
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Diagnosis of aortic dissection: the value of transesophageal echocardiography.主动脉夹层的诊断:经食管超声心动图的价值
Thorac Cardiovasc Surg. 1987 Nov;35 Spec No 2:126-33. doi: 10.1055/s-2007-1020273.
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Acute aortic dissection: the need for rapid, accurate, and readily available diagnostic strategies.
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Update in acute aortic syndrome: intramural hematoma and incomplete dissection as new disease entities.急性主动脉综合征的最新进展:壁内血肿和不完全夹层分离作为新的疾病实体。
J Cardiol. 2014 Sep;64(3):153-61. doi: 10.1016/j.jjcc.2014.05.005. Epub 2014 Jul 3.

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