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一名健康患者的非创伤性胸主动脉夹层

Non-traumatic Thoracic Aortic Dissection in a Healthy Patient.

作者信息

Jain Molly S, Luvsannyam Enkhmaa, Mokenela Keisa, Leitao Ayola R, Leitao Ayesha E

机构信息

Medicine, Saint James School of Medicine, Park Ridge, USA.

Surgery, Avalon University School of Medicine, Willemstad, CUW.

出版信息

Cureus. 2022 May 8;14(5):e24826. doi: 10.7759/cureus.24826. eCollection 2022 May.

Abstract

Aortic dissection (AD) is a serious condition, which typically affects men more than women. Strongly established risk factors include uncontrolled hypertension, connective tissue disorders, advanced age, cocaine use, and aortic injury. We believe it's important to report this case due to the occurrence of Stanford type A AD in a healthy 40-year-old male devoid of genetic, medical, family, and environmental risk factors. This patient presented with a tearing anterior chest pain radiating to the back and was promptly diagnosed and managed with surgical replacement and grafting of the diseased aorta and its involved branches. Therefore, it is imperative to include AD as a differential in atypical case scenarios and case presentations, as missed and delayed diagnosis and management would worsen the clinical outcomes.

摘要

主动脉夹层(AD)是一种严重疾病,通常男性比女性更易受影响。已明确的主要危险因素包括未控制的高血压、结缔组织疾病、高龄、使用可卡因以及主动脉损伤。我们认为报告该病例很重要,因为一名40岁健康男性发生了A型斯坦福AD,且无遗传、医疗、家族和环境危险因素。该患者表现为前胸撕裂样疼痛并放射至背部,经及时诊断后,对病变主动脉及其受累分支进行了手术置换和移植治疗。因此,在非典型病例情况和病例报告中,必须将AD列为鉴别诊断之一,因为漏诊和延误诊断及治疗会使临床结局恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/9172894/ffd820c2969c/cureus-0014-00000024826-i01.jpg

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