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慢性A型主动脉夹层：偶然发现心包积液的罕见表现。

Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion.

作者信息

Abugroun Ashraf, Subahi Ahmed, Gaznabi Safwan, Daoud Hussein

机构信息

Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Avenue, Chicago, IL 60657, USA.

Department of Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA.

出版信息

Case Rep Cardiol. 2019 May 2;2019:3562871. doi: 10.1155/2019/3562871. eCollection 2019.

DOI:10.1155/2019/3562871
PMID:31192016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6525833/
Abstract

Aortic dissection is the most devastating sequelae of aortopathy other than aortic rupture. However, aortic dissection can be asymptomatic in the acute phase with delayed symptomatic presentation or incidental diagnosis upon chest imaging. We report a case of a 63-year-old male who was diagnosed with pericardial effusion upon preoperative workup for elective cholecystectomy. Further investigations confirmed hemorrhagic pericardial effusion secondary to a chronic dissecting ascending aortic aneurysm. The patient condition was successfully managed with open surgical repair with an uneventful postoperative course. This case demonstrates an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.

摘要

主动脉夹层是主动脉病变除主动脉破裂外最具毁灭性的后遗症。然而，主动脉夹层在急性期可能无症状，症状出现延迟或在胸部影像学检查时偶然被诊断。我们报告一例63岁男性，在择期胆囊切除术的术前检查中被诊断为心包积液。进一步检查证实为慢性升主动脉夹层动脉瘤继发出血性心包积液。该患者通过开放手术修复成功治疗，术后病程顺利。本病例展示了慢性升主动脉夹层动脉瘤导致偶然发现的出血性心包积液这一极其罕见的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/4115d204b65a/CRIC2019-3562871.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/57d1721bf330/CRIC2019-3562871.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/c3833b72e78d/CRIC2019-3562871.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/d6cca0304ee3/CRIC2019-3562871.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/4115d204b65a/CRIC2019-3562871.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/57d1721bf330/CRIC2019-3562871.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/c3833b72e78d/CRIC2019-3562871.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/d6cca0304ee3/CRIC2019-3562871.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0511/6525833/4115d204b65a/CRIC2019-3562871.004.jpg

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