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原发性主动脉内恶性肿瘤——病例报告

Primary intraaortic malignancy--a case report.

作者信息

Moeser P, Perlmutt L M, Moore J, Rinker G E

出版信息

Cardiovasc Intervent Radiol. 1986;9(4):182-3. doi: 10.1007/BF02577936.

DOI:10.1007/BF02577936
PMID:3094948
Abstract

Malignant peripheral arterial emboli are extremely unusual. Most reported cases of malignant arterial emboli are secondary to invasion of the systemic circulation by pulmonary malignancies via the pulmonary veins. We report a rare case of a primary sarcoma of the aortic arch that presented as malignant emboli. When confronted by a patient with malignant emboli, a normal chest radiograph, and no evidence of a right-to-left shunt, a primary malignancy of the aorta should be suspected and angiography should be performed.

摘要

恶性周围动脉栓子极为罕见。大多数报道的恶性动脉栓子病例是肺部恶性肿瘤经肺静脉侵犯体循环所致。我们报告一例罕见的主动脉弓原发性肉瘤表现为恶性栓子的病例。当面对有恶性栓子、胸部X线片正常且无右向左分流证据的患者时,应怀疑主动脉原发性恶性肿瘤并进行血管造影。

相似文献

1
Primary intraaortic malignancy--a case report.原发性主动脉内恶性肿瘤——病例报告
Cardiovasc Intervent Radiol. 1986;9(4):182-3. doi: 10.1007/BF02577936.
2
[Splenic and mesenteric arterial hydatic emboli secondary to a primary hydatic cyst of the thoracic aorta].[继发于胸主动脉原发性包虫囊肿的脾动脉和肠系膜动脉包虫栓子]
Tunis Med. 1990 Jun-Jul;68(6-7):469-74.
3
Risk of catheter-related emboli in patients with atherosclerotic debris in the thoracic aorta.胸主动脉存在动脉粥样硬化碎片的患者发生导管相关栓子的风险。
Am Heart J. 1996 Jun;131(6):1149-55. doi: 10.1016/s0002-8703(96)90090-3.
4
[Mural thrombosis of the abdominal aorta. A sometimes unrecognized cause of recurrent embolisms].[腹主动脉瘤内血栓形成。隐性复发性栓子的原因]
J Mal Vasc. 1986;11(4):371-4.
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[Paradoxical embolism of the aortic arch diagnosed by transesophageal echocardiography. Surgical treatment].
Arch Mal Coeur Vaiss. 1994 Jun;87(6):819-22.
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Retrograde flow in the thoracic aorta in patients with systemic emboli: a transesophageal echocardiographic evaluation of mobile plaque motion.系统性栓塞患者胸主动脉内的逆向血流:经食管超声心动图对活动斑块运动的评估
Chest. 2000 Dec;118(6):1703-8. doi: 10.1378/chest.118.6.1703.
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Atheromatosis of the aortic arch as an occult source of multiple systemic emboli.主动脉弓动脉粥样硬化作为隐匿性多系统栓塞源
Ann Intern Med. 1991 Mar 1;114(5):391-2. doi: 10.7326/0003-4819-114-5-391.
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Arch thrombus formation in an apparently normal aorta as a source for recurrent peripheral embolization.在看似正常的主动脉中形成弓状血栓,作为复发性外周栓塞的来源。
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Massive aortic thrombus detected by transesophageal echocardiography as a cause of peripheral emboli in young patients.经食管超声心动图检测到的巨大主动脉血栓是年轻患者外周栓子的一个病因。
Am Heart J. 1996 Oct;132(4):882-3. doi: 10.1016/s0002-8703(96)90325-7.
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Floating thrombus in the ascending aorta: a rare cause of peripheral emboli.升主动脉内漂浮血栓:周围栓子的罕见原因。
J Vasc Surg. 1997 Jul;26(1):150-4. doi: 10.1016/s0741-5214(97)70161-7.

引用本文的文献

1
[High-grade intimal sarcoma in an aneurysm of the infrarenal aorta].[肾下腹主动脉瘤内的高级别内膜肉瘤]
Chirurg. 2004 Aug;75(8):823-7. doi: 10.1007/s00104-004-0830-z.
2
A case of aortic intimal sarcoma manifested with acutely occurring hypertension and aortic occlusion.一例表现为急性高血压和主动脉闭塞的主动脉内膜肉瘤病例。
Heart Vessels. 1989;5(1):54-8. doi: 10.1007/BF02058360.

本文引用的文献

1
NEOPLASIA OF AORTIC INTIMA.主动脉内膜瘤形成
J Clin Pathol. 1964 Nov;17(6):602-7. doi: 10.1136/jcp.17.6.602.
2
Malignant tumor emboli to the peripheral vessels.恶性肿瘤栓子进入外周血管。
J Surg Oncol. 1981;17(2):151-7. doi: 10.1002/jso.2930170209.
3
Primary sarcoma of the aorta associated with a vascular prosthesis: a case report.主动脉原发性肉瘤合并血管假体:一例报告。
Cancer. 1980 Jul 15;46(2):398-402. doi: 10.1002/1097-0142(19800715)46:2<398::aid-cncr2820460231>3.0.co;2-p.
4
Malignant vascular endothelial tumor with distal embolization. A new entity.
Am J Med. 1971 Nov;51(5):692-7. doi: 10.1016/0002-9343(71)90296-8.
5
Peripheral arterial tumor embolism by malignant tumor.恶性肿瘤所致外周动脉肿瘤栓塞
West J Med. 1979 Jan;130(1):72-5.