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特发性坏死性主动脉炎继发的巨大升主动脉瘤——一种罕见但重要的胸主动脉疾病病因

A Large Ascending Aortic Aneurysm Secondary to Idiopathic Necrotizing Aortitis-A Rare but Important Cause of Thoracic Aortic Disease.

作者信息

Smeeton Benjamin, Mustaev Muslim, Sabetai Michael

机构信息

Department of Plastic & Reconstructive Surgery, St. George's NHS Foundation Trust, London, United Kingdom.

Department of Cardiac Surgery, Guys' and St Thomas' NHS Foundation Trust, London, United Kingdom.

出版信息

Aorta (Stamford). 2019 Jun;7(4):125-128. doi: 10.1055/s-0039-1693986. Epub 2019 Nov 22.

DOI:10.1055/s-0039-1693986
PMID:31756735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6914356/
Abstract

Idiopathic necrotizing aortitis is characterized by lymphoplasmacytic or giant cell-associated inflammation of the aorta, with no specific identifiable cause. We present the case of a 79-year-old man who sought medical attention from his primary care physician because of worsening shortness of breath. The patient underwent an elective ascending aorta, hemiarch, and aortic valve replacement. Histological examination of the aortic specimen demonstrated an unusually thin aorta with features consistent with necrotizing aortitis with giant cell infiltration.

摘要

特发性坏死性主动脉炎的特征是主动脉出现淋巴细胞浆细胞性或巨细胞相关性炎症，且无特定可识别病因。我们报告一例79岁男性病例，该患者因气短加重而寻求初级保健医生的医疗关注。患者接受了选择性升主动脉、半弓和主动脉瓣置换术。主动脉标本的组织学检查显示主动脉异常薄，具有与伴有巨细胞浸润的坏死性主动脉炎一致的特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/9c211c7b9c90/10-1055-s-0039-1693986-i180022-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/2e49be8f5dd8/10-1055-s-0039-1693986-i180022-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/63d57811e237/10-1055-s-0039-1693986-i180022-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/9ce402699373/10-1055-s-0039-1693986-i180022-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/178a725b043a/10-1055-s-0039-1693986-i180022-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/9c211c7b9c90/10-1055-s-0039-1693986-i180022-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/2e49be8f5dd8/10-1055-s-0039-1693986-i180022-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/63d57811e237/10-1055-s-0039-1693986-i180022-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/9ce402699373/10-1055-s-0039-1693986-i180022-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/178a725b043a/10-1055-s-0039-1693986-i180022-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/6914356/9c211c7b9c90/10-1055-s-0039-1693986-i180022-5.jpg

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