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酷似主动脉壁内血肿的典型主动脉夹层罕见病例

Unusual Case of Overt Aortic Dissection Mimicking Aortic Intramural Hematoma.

作者信息

Disha Kushtrim, Kuntze Thomas, Girdauskas Evaldas

机构信息

Department of Cardiac Surgery, Central Hospital Bad Berka.

出版信息

Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):126-9. doi: 10.5090/kjtcs.2016.49.2.126. Epub 2016 Apr 5.

DOI:10.5090/kjtcs.2016.49.2.126
PMID:27066437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4825916/
Abstract

We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recurrence of IMH was detected three days thereafter, resulting in an urgent surgical intervention. Overt aortic dissection with evidence of an intimal tear was diagnosed intraoperatively.

摘要

我们报告了一例有趣的病例，其中显性主动脉夹层模仿了两起主动脉壁内血肿（IMH）事件（斯坦福A型，德巴基I型）。这一情况在四天内发生，对手术治疗策略产生了重大影响。IMH的首次发作在临床诊断并通过影像学技术证实后的15小时内完全消退。此后三天检测到IMH复发，导致紧急手术干预。术中诊断为伴有内膜撕裂证据的显性主动脉夹层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/0f362ae93084/kjtcv-49-126f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/314b3c71b2c1/kjtcv-49-126f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/98131d166e15/kjtcv-49-126f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/94b2d4b32e28/kjtcv-49-126f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/0f362ae93084/kjtcv-49-126f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/314b3c71b2c1/kjtcv-49-126f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/98131d166e15/kjtcv-49-126f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/94b2d4b32e28/kjtcv-49-126f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/4825916/0f362ae93084/kjtcv-49-126f4.jpg

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引用本文的文献

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Quant Imaging Med Surg. 2020 Jul;10(7):1504-1514. doi: 10.21037/qims-20-191.

本文引用的文献

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Outcomes of patients with acute type a aortic intramural hematoma.急性A型主动脉壁内血肿患者的预后。
Circulation. 2009 Nov 24;120(21):2046-52. doi: 10.1161/CIRCULATIONAHA.109.879783. Epub 2009 Nov 9.
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