Hoshino T, Ohmae M, Sakai A
Br Heart J. 1987 Jul;58(1):82-4. doi: 10.1136/hrt.58.1.82.
A 58 year old man experienced an attack of squeezing chest pain. A contrast enhanced computed tomographic scan showed acute dissection of the descending aorta. Treatment with metoprolol and nicardipine kept his blood pressure below 130/90 mm Hg while he was supine at rest and after walking. Serial contrast enhanced computed tomographic scans showed opacification of the false lumen (which was not opacified initially) on the 42nd day; moderate regression of the false lumen on the 67th day, and resolution of the false lumen on the 266th day. This is the first in vivo demonstration of spontaneous resolution of aortic dissection detected by serial contrast enhanced computed tomographic scans.
一名58岁男性经历了一次压榨性胸痛发作。增强计算机断层扫描显示降主动脉急性夹层。美托洛尔和尼卡地平治疗使他在静卧休息时和行走后的血压保持在130/90 mmHg以下。系列增强计算机断层扫描显示，在第42天假腔出现造影剂填充（最初未显影）；第67天假腔中度缩小，第266天假腔消失。这是首次通过系列增强计算机断层扫描在体内证实主动脉夹层自发消散。
