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一例伴有心包积血和心包填塞的慢性主动脉夹层病例。

A Case of Chronic Aortic Dissection With Hemopericardium and Tamponade.

作者信息

Pavlou Athanasios, Cardenas Ramos Laura, Vanek Martin, Regelmann David J

机构信息

Internal Medicine, St. Vincent's Medical Center, Bridgeport, USA.

Internal Medicine, Frank H. Netter MD School of Medicine, North Haven, USA.

出版信息

Cureus. 2022 Apr 7;14(4):e23924. doi: 10.7759/cureus.23924. eCollection 2022 Apr.

DOI:10.7759/cureus.23924
PMID:35530841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9076048/
Abstract

Type A aortic dissection involves the separation of the wall of the ascending aorta into a true lumen and a false lumen. The finding of an aortic dissection in a patient experiencing mild to moderate symptoms for several weeks may be surprising for clinicians, given the severity of the underlying process. Here, we present an 88-year-old patient who was admitted to our hospital due to orthopnea and leg swelling for the past two to three weeks and was found to have a chronic dissection of the ascending aorta, complicated by hemopericardium and tamponade. The existing literature very rarely reports chronic type A aortic dissection with tamponade on presentation.

摘要

A型主动脉夹层是指升主动脉壁分离为真腔和假腔。鉴于潜在病情的严重性，临床医生可能会对一名出现轻至中度症状数周的患者被诊断为主动脉夹层感到惊讶。在此，我们报告一名88岁患者，因过去两到三周出现端坐呼吸和腿部肿胀入院，经检查发现患有升主动脉慢性夹层，并伴有心包积血和心脏压塞。现有文献中很少报道初诊时即出现心脏压塞的慢性A型主动脉夹层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/f4691c9c4ef3/cureus-0014-00000023924-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/d0a400d9b81c/cureus-0014-00000023924-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/89bb591dbc57/cureus-0014-00000023924-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/65be0a1b41dc/cureus-0014-00000023924-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/0fa5440a5a34/cureus-0014-00000023924-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/751b78be593d/cureus-0014-00000023924-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/76cf8d1a7f33/cureus-0014-00000023924-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/f4691c9c4ef3/cureus-0014-00000023924-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/d0a400d9b81c/cureus-0014-00000023924-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/89bb591dbc57/cureus-0014-00000023924-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/65be0a1b41dc/cureus-0014-00000023924-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/0fa5440a5a34/cureus-0014-00000023924-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/751b78be593d/cureus-0014-00000023924-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/76cf8d1a7f33/cureus-0014-00000023924-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e6/9076048/f4691c9c4ef3/cureus-0014-00000023924-i07.jpg

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本文引用的文献

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Case Report: Are We Witnessing an Increase of Chronic Ascending Aortic Dissection as a Collateral Effect to the COVID-19 Pandemic?病例报告：我们是否正在见证慢性升主动脉夹层作为新冠疫情的附带效应而增加？
Front Cardiovasc Med. 2021 Apr 28;8:645135. doi: 10.3389/fcvm.2021.645135. eCollection 2021.
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Eur J Cardiothorac Surg. 2020 Feb 1;57(2):388-396. doi: 10.1093/ejcts/ezz209.
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Case Rep Cardiol. 2019 May 2;2019:3562871. doi: 10.1155/2019/3562871. eCollection 2019.
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The fate of unrepaired chronic type A aortic dissection.慢性 A 型主动脉夹层未修复的结局。
J Thorac Cardiovasc Surg. 2019 Oct;158(4):996-1004.e3. doi: 10.1016/j.jtcvs.2018.11.021. Epub 2018 Nov 17.
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Histopathological and biomechanical properties of the aortic wall in 2 patients with chronic type A aortic dissection.2 例慢性 A 型主动脉夹层患者的主动脉壁组织病理学和生物力学特性。
Cardiovasc Pathol. 2017 Jul-Aug;29:48-52. doi: 10.1016/j.carpath.2017.05.006. Epub 2017 May 30.
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Chronic Type A Aortic Dissection: Two Cases and a Review of Current Management Strategies.慢性A型主动脉夹层：两例病例及当前管理策略综述
Aorta (Stamford). 2016 Feb 1;4(1):16-21. doi: 10.12945/j.aorta.2015.15.016. eCollection 2016 Feb.
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The incidence and mortality of acute thoracic aortic dissection: results from a whole nation study.急性胸主动脉夹层的发病率和死亡率：一项全国性研究的结果
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