Sorensen B, Moyal C, Marlois O, Vaisse B, Montiès J R, Poggi L
Arch Mal Coeur Vaiss. 1986 Jun;79(7):1111-5.
The authors report the case of a dissecting aneurysm of the ascending aorta compressing the right pulmonary artery in a 62 year old man, 6 years after aortic valve replacement. The clinical presentation was that of pulmonary embolism. The diagnosis was confirmed by angiopneumography and CT scanning. The ascending aorta was successfully replaced with a Dacron prosthesis. One other case was found in a review of the literature. After discussing the predisposing factors of aortic dissection during cardiac surgery, the authors underline the diagnostic value of CT scanning in cases of suspected aneurysms of the thoracic aorta.
作者报告了一例62岁男性在主动脉瓣置换术后6年发生升主动脉夹层动脉瘤并压迫右肺动脉的病例。临床表现为肺栓塞。血管造影和CT扫描确诊了该病例。升主动脉成功地用涤纶人工血管进行了置换。文献回顾中还发现了另一例。在讨论心脏手术期间主动脉夹层的诱发因素后，作者强调了CT扫描在怀疑胸主动脉瘤病例中的诊断价值。
