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主动脉峡部大块钙化：继发性高血压的一个不常见病例。

Aortic isthmus massive calcifications: an unusual case of secondary hypertension.

机构信息

Department of cardiology, Croix Rousse Hospital, Lyon, Bron, France.

Department of Cardiovascular Surgery B, Louis Pradel Hospital, Bron, France.

出版信息

J Cardiothorac Surg. 2023 Nov 27;18(1):344. doi: 10.1186/s13019-023-02390-3.

DOI:10.1186/s13019-023-02390-3
PMID:38012735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10683169/
Abstract

We present the case of a 63-year-old woman who was hospitalized five times in 4 months for episodes of heart failure, associated with a sustained hypertension despite a fivefold therapy. The pathophysiological mechanism of the hypertension was a secondary hyperaldosteronism linked to a renal hypoperfusion due to the narrowing of the thoracic aorta by a huge calcified plaque, mimicking an aortic coarctation.

摘要

我们报告了一例 63 岁女性的病例，她在 4 个月内因心力衰竭发作住院 5 次，尽管接受了五倍剂量的治疗，但仍持续高血压。高血压的病理生理机制是继发性醛固酮增多症，与因巨大钙化斑块导致的胸主动脉狭窄引起的肾脏灌注不足有关，这种情况类似于主动脉缩窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/e8979f0942b4/13019_2023_2390_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/2072d9788278/13019_2023_2390_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/61b18cbcbfe8/13019_2023_2390_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/e8979f0942b4/13019_2023_2390_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/2072d9788278/13019_2023_2390_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/61b18cbcbfe8/13019_2023_2390_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4526/10683169/e8979f0942b4/13019_2023_2390_Fig3_HTML.jpg

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Aortic isthmus massive calcifications: an unusual case of secondary hypertension.主动脉峡部大块钙化：继发性高血压的一个不常见病例。
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[Arterial hypertension and RU-486: a complex case of secondary hypertension].[动脉高血压与米非司酮：继发性高血压的一个复杂病例]
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A rare cause of secondary hypertension: median arcuate ligament compression of the renal artery diagnosed by CT angiography.
继发性高血压的一种罕见病因：CT血管造影诊断为肾动脉受正中弓状韧带压迫
BMJ Case Rep. 2013 Jun 3;2013:bcr2013009937. doi: 10.1136/bcr-2013-009937.
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