一例采用保守治疗的非典型斯坦福A型慢性主动脉夹层病例。
An atypical case of Stanford type-A chronic aortic dissection managed conservatively.
作者信息
Maffè Stefano, Nicali Roberta, Dellavesa Pierfranco, Paffoni Paola, Bergamasco Luca, Parravicini Umberto
机构信息
Division of Cardiology, SS Trinita' Borgomanero Hospital, ASL No, Novara, Italy.
Division of Respiratory Medicine, Medical Department, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, Novara, Italy.
出版信息
Echocardiography. 2019 Oct;36(10):1936-1940. doi: 10.1111/echo.14493. Epub 2019 Oct 1.
Stanford type-A aortic dissection is a clinical emergency; mortality is high, and surgery is urgently required in most cases. Chronic forms of type-A dissection are rare and have a poor prognosis if not treated surgically. We present an unusual case of chronic type-A aortic dissection, with silent onset, in an oncologic patient without risk factors, which was managed conservatively and remained substantially stable during follow-up.
斯坦福A型主动脉夹层是一种临床急症；死亡率很高，大多数情况下急需手术治疗。慢性A型夹层很少见，如果不进行手术治疗，预后很差。我们报告了一例罕见的慢性A型主动脉夹层病例，该病例起病隐匿，患者为无危险因素的肿瘤患者，采用保守治疗，随访期间病情基本稳定。
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