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一例罕见的肺癌主动脉转移病例。

An unusual case of aortic metastasis from lung cancer.

作者信息

Diaconu Rodica, Florescu Roberta, Cornelissen Anne, Mamdouh Afify, Schaaps Nicole, von Stillfried Saskia, Boor Peter, Knüchel-Clarke Ruth, Donoiu Ionuț, Vogt Felix

机构信息

Department of Cardiology, University of Medicine and Pharmacy of Craiova, Romania.

University Hospital RWTH Aachen, Division of Cardiology, Angiology and Critical Care, Aachen, Germany.

出版信息

Discoveries (Craiova). 2020 Mar 31;8(1):e106. doi: 10.15190/d.2020.3.

DOI:10.15190/d.2020.3
PMID:32309623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7159821/
Abstract

In patients with cardiovascular events, such as myocardial infarction or aortic dissection without known risk factors for cardiovascular disease, neoplastic disease should be considered as a differential diagnosis. In this report, we present a case of a 51-year old man with previously undiagnosed non-small lung cancer leading to fatal cardiovascular complications due to hemovascular spread, diagnosed post-mortem. This case illustrates the value of autopsy in unexpected deaths.

摘要

在患有心血管事件的患者中，如心肌梗死或主动脉夹层且无已知心血管疾病风险因素时，应考虑将肿瘤性疾病作为鉴别诊断。在本报告中，我们呈现了一例51岁男性病例，该患者此前未被诊断出患有非小细胞肺癌，因血管播散导致致命的心血管并发症，尸检后确诊。该病例说明了尸检在意外死亡中的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/faf6bf189975/discoveries-08-106-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/57c6da2d6092/discoveries-08-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/3689fe7c35de/discoveries-08-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/707cad9290df/discoveries-08-106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/f5049e2598c2/discoveries-08-106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/36948abe1d1e/discoveries-08-106-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/faf6bf189975/discoveries-08-106-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/57c6da2d6092/discoveries-08-106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/3689fe7c35de/discoveries-08-106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/707cad9290df/discoveries-08-106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/f5049e2598c2/discoveries-08-106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/36948abe1d1e/discoveries-08-106-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c9/7159821/faf6bf189975/discoveries-08-106-g006.jpg

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Eur Heart J. 2019 Dec 21;40(48):3889-3897. doi: 10.1093/eurheartj/ehz766.
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Acute myocardial infarction due to malignant neoplastic coronary embolus.恶性肿瘤性冠状动脉栓塞所致急性心肌梗死
J Cardiol Cases. 2010 Jun 11;2(3):e123-e127. doi: 10.1016/j.jccase.2010.05.005. eCollection 2010 Dec.
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Descending thoracic aortic aneurysm revealing metastasis of a soft tissue fibrosarcoma: a case report and review of the literature.
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2022 ACC/AHA 血管疾病诊断与管理指南：美国心脏协会/美国心脏病学会联合临床实践指南委员会的报告。
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2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.2022 ACC/AHA 血管疾病诊断与管理指南：美国心脏协会/美国心脏病学会联合临床实践指南委员会的报告。
Circulation. 2022 Dec 13;146(24):e334-e482. doi: 10.1161/CIR.0000000000001106. Epub 2022 Nov 2.
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Spinal cord infarction caused by extensive aortic intramural hematoma.广泛主动脉壁内血肿导致的脊髓梗死。
Rom J Morphol Embryol. 2021 Jan-Mar;62(1):295-299. doi: 10.47162/RJME.62.1.32.
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