Dionne Pierre Olivier, Perrault Louis P
Department of Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Québec, Canada.
Department of Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Québec, Canada.
Can J Cardiol. 2014 Oct;30(10):1250.e23-5. doi: 10.1016/j.cjca.2014.05.015. Epub 2014 May 28.
A 73-year-old man presented with intermittent chest pain radiating to the back, which had started 12 hours earlier. On the day after emergency consultation, a thoracic scan showed an acute aortic intramural hematoma starting at the sinotubular junction with an ascending aorta diameter of 5.7 cm. One hour after the initial scan, the patient had acute chest pain followed by a loss of consciousness. A second scan was obtained 2 hours after the initial scan and showed a type A aortic dissection that extended from the sinotubular junction to the descending aorta.
一名73岁男性，出现间歇性胸痛并放射至背部，症状始于12小时前。急诊会诊次日，胸部扫描显示急性主动脉壁内血肿始于窦管交界，升主动脉直径5.7厘米。初次扫描1小时后，患者突发胸痛，随后意识丧失。初次扫描2小时后进行了第二次扫描，结果显示为A型主动脉夹层，从窦管交界延伸至降主动脉。
