Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Louisiana State University School of Medicine, LSU Health Sciences Center, New Orleans, Louisiana, USA.
Echocardiography. 2021 Apr;38(4):701-704. doi: 10.1111/echo.15023. Epub 2021 Mar 16.
A 50-year-old patient presented with a stroke. An ascending aortic mass noted by computed tomography was attached to the aortic wall and was found to be thrombus at surgery. Pathologic examination revealed an intraluminal thrombus attached to a focal segment of intimal fragmentation. Sectioning of the aortic wall revealed what were findings consistent with what would be noted with a previously unrecognized traumatic ascending aortic deceleration injury. To our knowledge, this is the first case of a late presentation of deceleration aortic injury, presenting with a thrombus within the ascending aorta.
一位 50 岁的患者因中风就诊。计算机断层扫描发现升主动脉有一个肿块，手术时发现是血栓。病理检查显示腔内血栓附着在局部内膜碎片段上。主动脉壁切片显示的发现与先前未被认识的升主动脉减速损伤一致。据我们所知，这是首例减速性主动脉损伤的迟发性表现，表现为升主动脉内血栓形成。
