Roumy Aurélien, Kirsch Matthias, Prêtre René, Niclauss Lars
Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland.
Aorta (Stamford). 2016 Dec 1;4(6):226-228. doi: 10.12945/j.aorta.2016.16.009. eCollection 2016 Dec.
A 74-year-old woman was admitted for right coronary angioplasty. During the procedure, she complained about chest pain, and contrast injection showed an iatrogenic dissection of the ascending aorta. A contrast computed tomography (CT) scan confirmed the diagnosis via visualization of a large non-circulating false lumen, which involved nearly the entire ascending aorta. The patient remained hemodynamically stable and asymptomatic while receiving medical therapy alone. Another CT scan performed 3 days later showed complete regression of the false lumen. This case suggests that uncomplicated iatrogenic dissection of the ascending aorta, even when large, may be managed successfully by medical therapy.
一名74岁女性因右冠状动脉血管成形术入院。在手术过程中，她主诉胸痛，造影剂注射显示升主动脉发生医源性夹层。对比增强计算机断层扫描（CT）通过显示一个几乎累及整个升主动脉的大的无血流的假腔确诊。患者仅接受药物治疗时血流动力学保持稳定且无症状。3天后进行的另一次CT扫描显示假腔完全消退。该病例提示，即使是较大范围的升主动脉医源性夹层，若未出现并发症，通过药物治疗可能成功处理。
