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在一名导管插入术失败患者中偶然发现无症状主动脉夹层。

Incidental Finding of an Asymptomatic Aortic Dissection in a Patient With Catheterization Failure.

作者信息

Ahmad Asrar, Aiman Wajeeha, Ali Muhammad Ashar, Shehade Abbas, Suleiman Addi

机构信息

Cardiology, Saint Michael's Medical Center, Newark, USA.

Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

出版信息

Cureus. 2022 Jan 6;14(1):e20984. doi: 10.7759/cureus.20984. eCollection 2022 Jan.

Abstract

Aortic dissection (AD) is an injury to the innermost layer of the aorta, leading to the formation of a false lumen. AD usually presents with tearing chest pain radiating to the back and is a medical emergency. Other common symptoms include abdominal pain, diaphoresis, loss of consciousness, shortness of breath, stroke-like symptoms, or leg pain. Here, we present a rare case of an incidental finding of asymptomatic AD on computed tomography angiography performed after cardiac catheterization failure. The patient had a history of aortic aneurysm, hypertension, and heart failure. Appropriate imaging should be performed to rule out the possibility of AD in patients with risk factors and cardiac catheterization failure.

摘要

主动脉夹层(AD)是主动脉最内层的损伤,导致假腔形成。AD通常表现为放射至背部的撕裂样胸痛,是一种医疗急症。其他常见症状包括腹痛、多汗、意识丧失、呼吸急促、中风样症状或腿痛。在此,我们报告一例罕见病例,在心脏导管插入术失败后进行的计算机断层血管造影中偶然发现无症状AD。该患者有主动脉瘤、高血压和心力衰竭病史。对于有危险因素且心脏导管插入术失败的患者,应进行适当的影像学检查以排除AD的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/899f/8817675/ba2cb50ac00e/cureus-0014-00000020984-i01.jpg

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