Bruno Elvira, Caramia Remo, Mangini Francesco, Giaccari Rinaldo, Santoro Silvia, Galiano Ludovico, Villano Roberto Del, Muscogiuri Eluisa, Amorese Lillà, Zaccaria Salvatore, Biederman Robert W W
ICU/Cardiology Unit, "Camberlingo" Hospital, Francavilla Fontana, Italy.
Anesthesiology Department, "Camberlingo" Hospital, Francavilla Fontana, Italy.
J Cardiol Cases. 2022 Feb 20;26(1):5-8. doi: 10.1016/j.jccase.2022.01.016. eCollection 2022 Jul.
Thoracic aortic aneurysms represent a potentially life-threatening disease with increasing prevalence, probably related to the increasing mean age of the global population; the complications of thoracic aortic aneurysms can show multiple modes of presentation in the acute phase based on various factors, including the involvement of the structures with which the aneurysm is in close anatomical relationship. With this case report we want to show how it is possible that a complicated ascending aortic aneurysm can mimic an acute pulmonary embolism/acute cor pulmonale in the acute phase; the earliest possible differential diagnosis between pulmonary embolism and acute aortic disease is of crucial importance due to the opposite implications that the treatment of these two diseases have. < Aortic acute syndromes may mimic acute cor pulmonale; the principal aim is to raise the readers' awareness of this aspect as the earliest possible differential diagnosis between pulmonary embolism and acute aortic disease is of crucial importance due to the opposite implications that the treatment of these two diseases has.>.
胸主动脉瘤是一种潜在的危及生命的疾病，其患病率呈上升趋势，这可能与全球人口平均年龄的增长有关；胸主动脉瘤的并发症在急性期可能基于多种因素呈现多种表现形式，包括与动脉瘤存在密切解剖关系的结构受累情况。通过本病例报告，我们想展示一个复杂的升主动脉瘤在急性期如何能够模拟急性肺栓塞/急性肺心病；由于这两种疾病的治疗有着相反的意义，因此尽早对肺栓塞和急性主动脉疾病进行鉴别诊断至关重要。<主动脉急性综合征可能模拟急性肺心病；主要目的是提高读者对这一方面的认识，因为由于这两种疾病的治疗有着相反的意义，尽早对肺栓塞和急性主动脉疾病进行鉴别诊断至关重要。>
