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Case report of an unusual and catastrophic presentation of coral reef aorta.

作者信息

Verreault-Julien Louis, Beaudoin Jonathan, Thériault Marie-Michèle, Do Doan Hoa

机构信息

Département de médecine, Centre Hospitalier Universitaire de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Québec, Canada.

Département de radiologie diagnostique, Centre Hospitalier Universitaire de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Québec, Canada.

出版信息

Eur Heart J Case Rep. 2019 Jan 8;3(1):yty163. doi: 10.1093/ehjcr/yty163. eCollection 2019 Mar.

DOI:10.1093/ehjcr/yty163
PMID:31020239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6439383/
Abstract

BACKGROUND

Coral reef aorta (CRA) is a rare condition characterized by atherosclerosis and overt calcification of the aorta leading to severe luminal stenosis of the vessel. Most patients present with hypertension and intermittent claudication at the time of diagnosis. Risk factors associated with this condition are essentially the same as those associated with atherosclerosis. However, no unique condition seems to predispose an individual to develop CRA.

CASE SUMMARY

We describe the case of a patient known for rheumatoid arthritis (RA) treated with long-term systemic corticosteroids who presented with a shock of unknown aetiology and left ventricular ejection fraction of 10%. Conventional and computed tomography angiography showed a CRA with subtotal lesion of the aortic arch that led to cardiogenic shock.

DISCUSSION

Even though the exact aetiology of her condition will remain uncertain, RA and extended use of corticosteroids likely played a role in the development of this severe form of CRA.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/30308bb4cda3/yty163f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/400ef645bfc8/yty163f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/1f9ef2c5f209/yty163f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/89278651d731/yty163f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/e973474b29a8/yty163f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/3150fd55a06f/yty163f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/30308bb4cda3/yty163f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/400ef645bfc8/yty163f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/1f9ef2c5f209/yty163f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/89278651d731/yty163f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/e973474b29a8/yty163f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/3150fd55a06f/yty163f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/6439383/30308bb4cda3/yty163f6.jpg

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本文引用的文献

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Rheumatoid Vasculitis: A Diminishing Yet Devastating Menace.类风湿性血管炎：一种虽在减少但仍具毁灭性的威胁。
Curr Rheumatol Rep. 2017 Jul;19(7):39. doi: 10.1007/s11926-017-0667-3.
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Extra-Anatomic Revascularization of Extensive Coral Reef Aorta.
Ann Vasc Surg. 2017 Oct;44:422.e1-422.e7. doi: 10.1016/j.avsg.2017.04.036. Epub 2017 May 5.
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Cardiovascular risk in rheumatoid arthritis.类风湿关节炎中的心血管风险。
Joint Bone Spine. 2014 Jul;81(4):298-302. doi: 10.1016/j.jbspin.2014.01.009. Epub 2014 May 28.
广泛珊瑚礁样主动脉中胸段囊状动脉瘤的挑战性血管内治疗
J Vasc Surg Cases Innov Tech. 2022 Aug 5;8(4):620-622. doi: 10.1016/j.jvscit.2022.07.010. eCollection 2022 Dec.
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Calcified obstructive disease of the aortic arch.主动脉弓钙化性阻塞性疾病。
Interact Cardiovasc Thorac Surg. 2014 May;18(5):683-4. doi: 10.1093/icvts/ivt503. Epub 2014 Feb 3.
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Coral reef aorta: case report and review of the literature.
Vascular. 2013 Aug;21(4):251-9. doi: 10.1177/1708538113478764.
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The coral reef aorta - a single centre experience in 70 patients.珊瑚礁主动脉——70例患者的单中心经验
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Congestive heart failure due to coral reef thoracoabdominal aorta.珊瑚礁所致胸腹主动脉引起的充血性心力衰竭
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):684-5. doi: 10.1510/icvts.2011.278648. Epub 2011 Sep 11.
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[Occlusive aortic disease as coral reef aorta--experience in 80 cases].[闭塞性主动脉疾病如珊瑚礁样主动脉——80例经验]
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Taking glucocorticoids by prescription is associated with subsequent cardiovascular disease.按处方服用糖皮质激素与随后发生的心血管疾病有关。
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