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急性A型主动脉夹层中血栓形成的假腔快速自发重塑。

Quick spontaneous remodelling of thrombosed false lumen in acute type-A aortic dissection.

作者信息

Piñón Miguel, Acuña Beatriz, Lugo Julio, Pradas Gonzalo

机构信息

Hospital Álvaro Cunqueiro. Complejo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36312, Vigo, Spain.

Department of Cardiac Surgery. Complejo Hospitalario Universitario, Vigo, Spain.

出版信息

J Thorac Dis. 2017 May;9(5):1366-1368. doi: 10.21037/jtd.2017.04.33.

DOI:10.21037/jtd.2017.04.33
PMID:28616290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5465160/
Abstract

Natural history of acute Stanford type A aortic dissection (AAAD) implies the need of emergent surgical treatment in the vast majority of cases. Nevertheless, conservative treatment has been described to yield acceptable outcomes, when compared to surgery, in selected high risk cases of thrombosed false lumen. We report a significant quick remodelling of the false lumen occurred in an 85-year-old female 6 days after conservative treatment.

摘要

急性斯坦福A型主动脉夹层(AAAD)的自然病程表明,绝大多数情况下需要紧急手术治疗。然而,与手术相比,保守治疗在某些血栓形成的假腔高风险病例中也能取得可接受的结果。我们报告了一名85岁女性在保守治疗6天后假腔出现显著快速重塑的情况。

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本文引用的文献

1
Surgical treatment or conservative therapy for stanford type a acute aortic dissection with a thrombosed false lumen.Stanford A型急性主动脉夹层伴血栓形成假腔的手术治疗或保守治疗
Ann Vasc Dis. 2012;5(4):428-34. doi: 10.3400/avd.oa.12.00021. Epub 2012 Oct 31.
2
Simple risk models to predict surgical mortality in acute type A aortic dissection: the International Registry of Acute Aortic Dissection score.预测急性A型主动脉夹层手术死亡率的简单风险模型:国际急性主动脉夹层注册研究评分
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Initial management of acute type-A aortic dissection with a thrombosed false lumen: a retrospective cohort study.伴有血栓形成假腔的急性A型主动脉夹层的初始管理:一项回顾性队列研究
Surg Today. 2004;34(8):652-7. doi: 10.1007/s00595-004-2798-1.
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Long-term prognosis of acute aortic dissection with medical treatment: a survey of 263 unoperated patients.急性主动脉夹层内科治疗的长期预后:263例未手术患者的调查
Jpn Circ J. 2001 May;65(5):359-63. doi: 10.1253/jcj.65.359.
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Spontaneous resolution late after aortic dissection.主动脉夹层分离后晚期的自然消退
Eur J Cardiothorac Surg. 1997 Sep;12(3):513-5. doi: 10.1016/s1010-7940(97)00195-4.
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Effect of medical and surgical therapy on aortic dissection evaluated by transesophageal echocardiography. Implications for prognosis and therapy. The European Cooperative Study Group on Echocardiography.经食管超声心动图评估内科及外科治疗对主动脉夹层的疗效。对预后及治疗的意义。欧洲超声心动图合作研究组
Circulation. 1993 May;87(5):1604-15. doi: 10.1161/01.cir.87.5.1604.