Amine Abdellah, Belasri Salah, Janah Hicham
Cardiologie, 5 Hôpital Militaire Guelmim, Maroc.
Radiologie, 5 Hôpital Militaire Guelmim, Maroc.
Pan Afr Med J. 2016 Oct 24;25:106. doi: 10.11604/pamj.2016.25.106.10722. eCollection 2016.
Thoracic aortic aneurysms are relatively rare. Etiologies are dominated by atherosclerosis, elastic tissue dystrophies and trauma. We report the case of a 50-year old patient with a personal history of severe chest trauma occurring at age 25 years during parachute training. He presented with neurosensory signs of arterial hypertension. Chest X-ray showed aneurysmal dilatation of the thoracic aorta. Transthoracic echocardiography, CT angiography and MRI objectified ascending aortic aneurysm. The assessment of extent and etiological research were negative. The anatomopathological examination of surgical specimen showed nonspecific lesions.
胸主动脉瘤相对少见。病因以动脉粥样硬化、弹性组织营养不良和创伤为主。我们报告一例50岁患者,其个人史中有25岁时跳伞训练期间发生的严重胸部创伤。他出现了动脉高血压的神经感觉症状。胸部X线显示胸主动脉瘤样扩张。经胸超声心动图、CT血管造影和MRI证实升主动脉瘤。对范围的评估和病因研究均为阴性。手术标本的解剖病理学检查显示非特异性病变。