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一名年轻患者中意外发现的巨细胞性主动脉炎。

Unexpected giant cell aortitis in a young patient.

作者信息

Nair Lawrence, Senanayake Eshan, Thomson Bruce

机构信息

Department of Cardiothoracic Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia.

Department of Cardiothoracic Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia.

出版信息

Int J Surg Case Rep. 2021 Apr;81:105741. doi: 10.1016/j.ijscr.2021.105741. Epub 2021 Mar 11.

DOI:10.1016/j.ijscr.2021.105741
PMID:33814341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8073196/
Abstract

INTRODUCTION AND IMPORTANCE

Giant cell aortitis is a rare cause of ascending aortic aneurysm disease. Patients presenting with aneurysms caused by giant cell aortitis are at high risk of devastating complications.

CASE PRESENTATION

A 35-year-old female with an ascending aortic aneurysm, underwent an aortic root and ascending aorta replacement and subsequently was found to have giant cell aortitis on histopathology.

DISCUSSION AND CONCLUSION

This case illustrates a very rare cause for aortopathy in a young healthy patient, who may have ruptured or dissected, if not for timely operative intervention.

摘要

引言与重要性

巨细胞性主动脉炎是升主动脉瘤疾病的罕见病因。因巨细胞性主动脉炎导致动脉瘤的患者发生严重并发症的风险很高。

病例介绍

一名35岁患有升主动脉瘤的女性接受了主动脉根部和升主动脉置换术,随后经组织病理学检查发现患有巨细胞性主动脉炎。

讨论与结论

该病例说明了一名年轻健康患者发生主动脉病变的非常罕见的病因,若不及时进行手术干预,该患者可能已发生破裂或夹层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a526/8073196/978da59d9263/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a526/8073196/daee47317ec6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a526/8073196/978da59d9263/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a526/8073196/daee47317ec6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a526/8073196/978da59d9263/gr2.jpg

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本文引用的文献

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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Aortic dissection in giant-cell arteritis.
Semin Arthritis Rheum. 1995 Dec;25(3):160-71. doi: 10.1016/s0049-0172(95)80028-x.
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Thoracic aortic aneurysm secondary to giant cell arteritis: a reappraisal of etiology, treatment and possible prevention.
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