Trinquet F, Vouhé P R, Tamisier D, Neveux J Y
Arch Mal Coeur Vaiss. 1986 Jul;79(8):1245-7.
Rupture of the ascending aorta may follow thoracic trauma or complicate an aortic aneurysm or acute dissection. It is otherwise extremely rare. The authors report a case of spontaneous rupture of the ascending aorta occurring in a patient with a pre-existing incomplete rupture of the ascending aorta, and treated surgically. The clinical presentation was of acute dissection with pericardial effusion. This diagnosis was excluded by aortography with multiple views which showed abnormalities of the aortic wall: an abnormal notch, continuity of the internal wall and extravasation of the contrast medium. These abnormalities are often minimal but should be recognised and surgery proposed as this is the only chance of a favourable outcome.
升主动脉破裂可继发于胸部创伤，或并发主动脉瘤或急性主动脉夹层，除此之外极为罕见。作者报告了1例升主动脉自发破裂的病例，该患者之前存在升主动脉不完全破裂，并接受了手术治疗。临床表现为急性主动脉夹层伴心包积液。通过多视角主动脉造影排除了该诊断，造影显示主动脉壁存在异常：异常切迹、内膜连续性及造影剂外渗。这些异常通常很轻微，但应予以识别并建议手术，因为这是获得良好预后的唯一机会。
