Chadha Davinder, Malani Susheel, Hasija Pradeep, Naveen A J
Department of Cardiology, MH (CTC), Pune, Maharashtra, India.
BMJ Case Rep. 2014 Oct 23;2014:bcr2014204555. doi: 10.1136/bcr-2014-204555.
A 70-year-old woman on four antihypertensive drugs including diuretics presented with accelerated hypertension and acute pulmonary oedema. She had a bounding brachial pulse with feeble femoral pulses. A 256 slice CT scan revealed the presence of severe diffuse thoracoabdominal atherosclerosis. Cardiac catheterisation revealed 125 mm Hg gradient across the atherosclerotic segment at the level of thoracic 10-11 vertebrae. A self-deploying stent was implanted in the thoracoabdominal segment reducing the gradient across the disease segment to 20 mm Hg with a significant improvement in the luminal diameter of the aorta. Her upper limb blood pressure normalised on two antihypertensive drugs 6 weeks later.
一名70岁女性，正在服用包括利尿剂在内的四种抗高血压药物，出现了急进性高血压和急性肺水肿。她的肱动脉搏动有力，但股动脉搏动微弱。256层CT扫描显示存在严重的弥漫性胸腹主动脉粥样硬化。心脏导管检查显示，在胸10至11椎体水平的动脉粥样硬化节段两端存在125 mmHg的压差。在胸腹段植入了一个自膨胀支架，使病变节段两端的压差降至20 mmHg，主动脉管腔直径显著改善。6周后，她仅服用两种抗高血压药物，上肢血压就恢复了正常。
