Hirata Kazuhito, Shimotakahara Jun-Ichi, Nakayama Izumi, Mukaigawara Mitsuru, Wake Minoru, Tengan Toshiho, Mototake Hidemitsu
Division of Cardiology, Okinawa Chubu Hospital, Japan.
Intensive Care Unit, Okinawa Chubu Hospital, Japan.
Intern Med. 2020 Aug 15;59(16):2009-2013. doi: 10.2169/internalmedicine.4430-20. Epub 2020 May 23.
We herein report 3 cases of acute aortic dissection (AAD) in which the initial 12-lead electrocardiogram showed typical ST elevation consistent with acute pericarditis. All patients exhibited small pericardial effusion but did not suffer from rupture into the pericardium or clinical tamponade. Slow leakage or exudate stemming from the dissecting hematoma appeared to have caused inflammation, resulting in pericarditis. Therefore, we highlight the fact that AAD may masquerade as acute pericarditis. Physicians should be aware of the possibility of type A AAD as an important underlying condition, since the early diagnosis and subsequent surgical treatment may save patients' lives.
我们在此报告3例急性主动脉夹层（AAD），其最初的12导联心电图显示与急性心包炎一致的典型ST段抬高。所有患者均表现为少量心包积液，但未发生心包破裂或临床心包填塞。夹层血肿缓慢渗漏或渗出似乎引起了炎症，导致心包炎。因此，我们强调AAD可能伪装成急性心包炎这一事实。医生应意识到A型AAD作为重要潜在疾病的可能性，因为早期诊断及后续手术治疗可能挽救患者生命。
