与急性主动脉夹层相关的肺部浸润影，酷似冠状病毒肺炎。
Pulmonary infiltration shadows associated with acute aortic dissection mimicking coronavirus pneumonia.
作者信息
Hamasaki Azumi, Kikuchi Chizuo, Hirota Masataka, Niinami Hiroshi
机构信息
Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
出版信息
J Card Surg. 2020 May;35(5):1106-1107. doi: 10.1111/jocs.14533. Epub 2020 Apr 10.
BACKGROUND
In acute aortic dissection, various findings can be found in computed tomography. However, pulmonary infiltration is rarely observed.
CASE REPORT
A 57-year-old man was diagnosed with acute aortic dissection (AAD), but had marked infiltration shadows in his right lung. Intraoperative findings showed that large subadventitial hematomas had spread from the ascending aorta to the right pulmonary artery, which may have caused the infiltration of the lung.
CONCLUSIONS
Subadventitial hematoma must be considered in rare cases of AAD with pulmonary infiltration.
背景
在急性主动脉夹层中，计算机断层扫描可发现各种表现。然而，肺部浸润很少见。
病例报告
一名57岁男性被诊断为急性主动脉夹层（AAD），但其右肺有明显的浸润阴影。术中发现，大量外膜下血肿已从升主动脉蔓延至右肺动脉，这可能导致了肺部浸润。
结论
在罕见的伴有肺部浸润的AAD病例中，必须考虑外膜下血肿。
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