孤立性主动脉弓中断：一名63岁男性的意外诊断。

Isolated interrupted aortic arch: unexpected diagnosis in a 63-year-old male.

作者信息

Javadzadegan Hassan, Porhomayon Jahan, Sadighi Alireza, Yavarikia Mehrdad, Nader Nader

机构信息

Madani Heart Center, Tabriz Medical University, Tabriz, Iran.

VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA.

出版信息

Case Rep Crit Care. 2011;2011:989621. doi: 10.1155/2011/989621. Epub 2011 Jun 21.

DOI:10.1155/2011/989621

PMID:24826328

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4010033/

Abstract

A 63-year-old male with history of hypertension, dyspnea on exertion, and chronic chest pain was admitted for elective cardiac angiography. Arterial blood pressure was 160/90 mmHg in both arms. Femoral and popliteal pulses were extremely weak, and third (S3) and fourth (S4) heart sounds were audible. Aortography showed a mildly dilated aortic root with double brachiocephalic trunk and interruption of aortic arch at isthmus. Profuse and well-developed collaterals appeared at neck and thorax. The patient was recommended to take medical treatment for his hypertension and advanced heart failure. The aim of this paper, is to review the diagnostic and therapeutic options for treatment of the interrupted aortic arch.

摘要

一名63岁男性，有高血压、劳力性呼吸困难和慢性胸痛病史，因择期心脏血管造影入院。双臂动脉血压均为160/90 mmHg。股动脉和腘动脉搏动极弱，可闻及第三心音（S3）和第四心音（S4）。主动脉造影显示主动脉根部轻度扩张，有双无名动脉干，主动脉弓在峡部中断。颈部和胸部出现大量且发育良好的侧支循环。建议该患者对其高血压和晚期心力衰竭进行药物治疗。本文的目的是综述主动脉弓中断的诊断和治疗选择。