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诊断伴壁内血肿的逆行性 A 型主动脉夹层的难度和再夹层及破裂的风险：两例报告。

Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases.

机构信息

Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Japan.

出版信息

Intern Med. 2021 Oct 1;60(19):3121-3124. doi: 10.2169/internalmedicine.7009-21. Epub 2021 Apr 12.

DOI:10.2169/internalmedicine.7009-21
PMID:33840696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8545650/
Abstract

Acute type A aortic dissection is a potentially fatal disease, and emergency surgery should be considered when it is diagnosed. We herein report two cases of retrograde type A aortic dissection with intramural hematoma, followed by re-dissection, rupture, and cardiac tamponade. The diagnoses in these cases had to be made carefully, as the false lumen of the ascending aorta was sometimes unclear on contrast-enhanced computed tomography.

摘要

急性 A 型主动脉夹层是一种潜在致命的疾病，确诊后应考虑紧急手术。本文报告了两例逆行性 A 型主动脉夹层伴壁内血肿，继而再次夹层、破裂并导致心脏压塞的病例。这些病例的诊断必须仔细，因为升主动脉的假腔在增强 CT 上有时不太清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/d2b40c473f2a/1349-7235-60-3121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/589066ad03bf/1349-7235-60-3121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/345bb27918a9/1349-7235-60-3121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/d2b40c473f2a/1349-7235-60-3121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/589066ad03bf/1349-7235-60-3121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/345bb27918a9/1349-7235-60-3121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adec/8545650/d2b40c473f2a/1349-7235-60-3121-g003.jpg

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