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降主动脉穿透性动脉粥样硬化溃疡及相关升主动脉壁内血肿的内科及外科治疗

Medical and Surgical Management of a Descending Aorta Penetrating Atherosclerotic Ulcer and Associated Ascending Intramural Hematoma.

作者信息

Henn Matthew C, Lawrance Christopher P, Braverman Alan C, Sanchez Luis, Lawton Jennifer S

机构信息

Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri;

Division of Cardiology, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri; and.

出版信息

Aorta (Stamford). 2014 Apr 1;2(2):77-81. doi: 10.12945/j.aorta.2014.13-060. eCollection 2014 Apr.

DOI:10.12945/j.aorta.2014.13-060
PMID:26798718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4682759/
Abstract

A 69-year-old man presented with chest pain and a computed tomography scan demonstrated an acute penetrating atherosclerotic ulcer (PAU) of the proximal descending aorta with an associated intramural hematoma (IMH) extending retrograde to the aortic root and distally to the renal arteries. He successfully underwent endovascular repair of the PAU and medical management of the associated ascending intramural hematoma with complete resolution at 6 months.

摘要

一名69岁男性因胸痛就诊，计算机断层扫描显示降主动脉近端有急性穿透性动脉粥样硬化溃疡（PAU），伴有壁内血肿（IMH），该血肿逆行延伸至主动脉根部，远端至肾动脉。他成功接受了PAU的血管内修复以及相关升主动脉壁内血肿的药物治疗，6个月时完全消退。

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