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珊瑚礁样主动脉,急诊手术:病例报告及文献综述

Coral reef aorta, emergency surgical: case report and literature review.

作者信息

Belczak Sergio Quilici, Sincos Igor Rafael, Aun Ricardo, Costa Kaline Viana, Araujo Etianne Andrade

机构信息

Hospital Geral de Carapicuíba, Carapicuíba, SP, Brazil.

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2014 Apr;12(2):237-41. doi: 10.1590/s1679-45082014rc2772.

DOI:10.1590/s1679-45082014rc2772
PMID:25003933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4891170/
Abstract

Coral reef aorta is described as an uncommon entity characterized by the presence of coarse calcifications, which are developed in the visceral aorta. These calcifications grow toward the lumen of the artery and can result in significant stenosis, so that causing malperfusion of the lower limbs, visceral ischemia or hypertension secondary to renal involvement. We report here a case of a 54-year-old patient with coral reef aorta and symptomatic. The clinical presentation of the patient required the surgical approach. A review of literature in major databases was conducted to compare health-related aspects of the disease presentation and management. Coral reef aorta should be considered as the diagnosis for patients with visceral and limbs ischemia. The approach in our case was consistent with other studies previously published in the literature.

摘要

珊瑚礁样主动脉被描述为一种罕见的病变,其特征是在内脏主动脉出现粗大钙化。这些钙化向动脉管腔生长,可导致严重狭窄,进而引起下肢灌注不良、内脏缺血或肾脏受累继发的高血压。我们在此报告一例54岁有症状的珊瑚礁样主动脉患者。患者的临床表现需要手术治疗。我们在主要数据库中进行了文献回顾,以比较该疾病表现和治疗的健康相关方面。对于有内脏和肢体缺血的患者,应考虑珊瑚礁样主动脉的诊断。我们病例的治疗方法与文献中先前发表的其他研究一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/c7b574873568/1679-4508-eins-12-02-0237-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/ae350c8097d0/1679-4508-eins-12-02-0237-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/1c85a0ba2c1d/1679-4508-eins-12-02-0237-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/1e04d9629bdf/1679-4508-eins-12-02-0237-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/af065137053f/1679-4508-eins-12-02-0237-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/c7b574873568/1679-4508-eins-12-02-0237-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/ae350c8097d0/1679-4508-eins-12-02-0237-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/1c85a0ba2c1d/1679-4508-eins-12-02-0237-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/1e04d9629bdf/1679-4508-eins-12-02-0237-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/af065137053f/1679-4508-eins-12-02-0237-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8db/4891170/c7b574873568/1679-4508-eins-12-02-0237-gf05.jpg

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本文引用的文献

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The Coral Reef Aorta: Diagnosis and Treatment Following CT.珊瑚礁状主动脉:CT检查后的诊断与治疗
Radiol Case Rep. 2016 Oct 4;4(1):209. doi: 10.2484/rcr.v4i1.209. eCollection 2009.
2
Case report: successful endovascular treatment of saccular thoracic aneurysm with "shaggy aorta".病例报告:成功采用血管内治疗“毛糙主动脉”伴囊状胸主动脉瘤。
Ann Thorac Cardiovasc Surg. 2012;18(6):536-9. doi: 10.5761/atcs.cr.11.01813. Epub 2012 Apr 27.
3
The coral reef aorta - a single centre experience in 70 patients.珊瑚礁主动脉——70例患者的单中心经验
难治性心力衰竭及继发于肾上段珊瑚状主动脉的间歇性跛行。
J Cardiol Cases. 2020 Aug 17;22(5):249-252. doi: 10.1016/j.jccase.2020.07.014. eCollection 2020 Nov.
4
Severe Obstructive Calcification of the Descending Aorta: A Case Report of "Coral Reef Aorta".降主动脉重度梗阻性钙化:“珊瑚礁样主动脉”病例报告
Ann Vasc Dis. 2017 Jun 25;10(2):155-158. doi: 10.3400/avd.cr.16-00133.
Int J Angiol. 2007 Fall;16(3):98-105. doi: 10.1055/s-0031-1278258.
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Mid aortic syndrome: a rare vascular disorder.主动脉中段综合征:一种罕见的血管疾病。
J Pak Med Assoc. 2011 Oct;61(10):1018-20.
5
Congestive heart failure due to coral reef thoracoabdominal aorta.珊瑚礁所致胸腹主动脉引起的充血性心力衰竭
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):684-5. doi: 10.1510/icvts.2011.278648. Epub 2011 Sep 11.
6
[Occlusive aortic disease as coral reef aorta--experience in 80 cases].[闭塞性主动脉疾病如珊瑚礁样主动脉——80例经验]
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7
Analysis of calcifications in patients with coral reef aorta.珊瑚礁样主动脉患者钙化的分析。
Ann Vasc Surg. 2010 Apr;24(3):408-14. doi: 10.1016/j.avsg.2009.11.006. Epub 2010 Feb 7.
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Extraanatomic bypass and coronary artery grafting for coral reef aorta.用于珊瑚礁样主动脉的解剖外旁路和冠状动脉移植术。
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