Mo Alan, Cha Jin-Whan, Yang Millet
Larkin Community Hospital, 7031 SW 62nd Avenue, South Miami, FL 33143, USA.
Radiol Case Rep. 2020 Apr 5;15(6):660-663. doi: 10.1016/j.radcr.2020.03.007. eCollection 2020 Jun.
Stanford type A dissections usually require surgery because they are associated with high morbidity and mortality. However, there are situations where medical management becomes the definitive treatment. We report the successful medical management of a 16-month chronic type A aortic dissection in a 56-year-old male patient with a past surgical history of ascending aortic aneurysm repair. The dissection is unique because it is distal to the graft and does not extend into the main aortic branches. A review of a patient's surgical history and nonenhanced imaging studies is essential when a type A dissection is discovered. Ascending aortic grafts may preclude the most serious complications of type A dissections.
斯坦福A型主动脉夹层通常需要手术治疗，因为其与高发病率和死亡率相关。然而，在某些情况下，药物治疗可成为最终治疗手段。我们报告了一例成功采用药物治疗的病例，患者为一名56岁男性，有升主动脉瘤修复手术史，患有16个月的慢性A型主动脉夹层。该夹层的独特之处在于它位于移植物远端，且未延伸至主动脉主要分支。当发现A型夹层时，回顾患者的手术史和非增强影像学检查至关重要。升主动脉移植物可能会预防A型夹层最严重的并发症。
