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巨大升主动脉瘤病例报告：多模态成像的作用

A Case Report of Giant Ascending Aortic Aneurysm: Role of Multimodality Imaging.

作者信息

Shah Shabir H, Shah Muhammad A, Alganadi Abudar A M, Alshehri Halia Z, Mir Mudasir S, Alshammari Abdulaziz M

机构信息

Department of Adult Cardiac Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

Department of Adult Cardiology, King Fahad Medical City, Riyadh, Saudi Arabia.

出版信息

Aorta (Stamford). 2021 Jun;9(3):106-109. doi: 10.1055/s-0041-1730005. Epub 2021 Oct 12.

DOI:10.1055/s-0041-1730005
PMID:34638145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8598312/
Abstract

Giant ascending aortic aneurysm (AscAA >10 cm) is an uncommon entity with a variable presentation. The size of the aneurysm, rapid expansion, and calcification are associated with an increased risk of rupture. Atherosclerosis is the most common etiology of aortic aneurysm in the elderly population. Multimodality imaging can be wisely used for diagnosis, risk stratification, and follow-up. We herein report a case of successfully repaired giant calcified AscAA with a maximum diameter of 10 cm. We also provide a brief discussion on the role of multimodality imaging.

摘要

巨大升主动脉瘤（升主动脉瘤直径>10厘米）是一种表现多样的罕见病症。动脉瘤的大小、快速扩张和钙化与破裂风险增加相关。动脉粥样硬化是老年人群主动脉瘤最常见的病因。多模态成像可明智地用于诊断、风险分层和随访。我们在此报告一例成功修复的最大直径为10厘米的巨大钙化升主动脉瘤病例。我们还简要讨论了多模态成像的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/840787ae6539/10-1055-s-0041-1730005-i200028-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/b83a413ed6c3/10-1055-s-0041-1730005-i200028-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/cc1e8d8ac960/10-1055-s-0041-1730005-i200028-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/50adaedfc6a0/10-1055-s-0041-1730005-i200028-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/52225af1c39d/10-1055-s-0041-1730005-i200028-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/840787ae6539/10-1055-s-0041-1730005-i200028-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/b83a413ed6c3/10-1055-s-0041-1730005-i200028-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/cc1e8d8ac960/10-1055-s-0041-1730005-i200028-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/50adaedfc6a0/10-1055-s-0041-1730005-i200028-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/52225af1c39d/10-1055-s-0041-1730005-i200028-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/8598312/840787ae6539/10-1055-s-0041-1730005-i200028-5.jpg

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本文引用的文献

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Braz J Cardiovasc Surg. 2020 Oct 29;35(5):834-837. doi: 10.21470/1678-9741-2019-0151.
2
Aortic Valve Replacement Combined with Ascending Aortic Aneurysmectomy in a Patient with Sickle Cell Disease: a Case Report.镰状细胞病患者主动脉瓣置换联合升主动脉瘤切除术：一例报告
Braz J Cardiovasc Surg. 2018 Mar-Apr;33(2):203-205. doi: 10.21470/1678-9741-2017-0185.
3
Height alone, rather than body surface area, suffices for risk estimation in ascending aortic aneurysm.
仅凭身高而不是体表面积足以评估升主动脉瘤的风险。
J Thorac Cardiovasc Surg. 2018 May;155(5):1938-1950. doi: 10.1016/j.jtcvs.2017.10.140. Epub 2017 Dec 6.
4
Editor's Choice - Calcification of Thoracic and Abdominal Aneurysms is Associated with Mortality and Morbidity.编辑精选 - 胸腹部动脉瘤的钙化与死亡率和发病率相关。
Eur J Vasc Endovasc Surg. 2018 Jan;55(1):101-108. doi: 10.1016/j.ejvs.2017.11.007. Epub 2017 Dec 7.
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Management of a complicated redo giant dissecting aortic aneurysm.复杂再次手术的巨大夹层主动脉瘤的治疗
Cardiovasc J Afr. 2017 Jul 23;28(4):e6-e8. doi: 10.5830/CVJA-2016-087.
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Giant dissecting aortic aneurysm in an asymptomatic young male.一名无症状年轻男性的巨大夹层主动脉瘤
Case Rep Vasc Med. 2015;2015:958464. doi: 10.1155/2015/958464. Epub 2015 Feb 23.
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2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology,American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons,and Society for Vascular Medicine.2010年美国心脏病学会基金会/美国心脏协会/美国胸外科医师协会/美国放射学会/美国卒中协会/心血管麻醉医师协会/心血管造影和介入学会/介入放射学会/胸外科医师学会/血管医学学会胸主动脉疾病患者诊断和管理指南。美国心脏病学会基金会/美国心脏协会实践指南工作组、美国胸外科协会、美国放射学会、美国卒中协会、心血管麻醉医师协会、心血管造影和介入学会、介入放射学会、胸外科医师学会及血管医学学会报告。
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