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一名加纳男性罕见的三腔主动脉夹层表现。

A rare presentation of triple-barrel aortic dissection in a Ghanaian male.

作者信息

Coleman Nana Adjoa M, Folson Aba A, Bekui Mawufemor A, Owusu Bennett

机构信息

Department of Internal Medicine Ho Teaching Hospital Ho Ghana.

Department of Internal Medicine and Therapeutics, School of Medicine University of Health and Allied Sciences Ho Ghana.

出版信息

Clin Case Rep. 2024 Apr 2;12(4):e8708. doi: 10.1002/ccr3.8708. eCollection 2024 Apr.

DOI:10.1002/ccr3.8708
PMID:38566980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10985938/
Abstract

Acute aortic dissection in unusual/rare circumstances may become chronic and multi lumen. A high clinical acumen, examination and investigations in the acute setting, may help reduce late/misdiagnosis and complications in low resource settings.

摘要

在不寻常/罕见情况下发生的急性主动脉夹层可能会发展为慢性且形成多腔。在急性发病时具备较高的临床敏锐度、进行检查和开展相关调查，可能有助于在资源匮乏地区减少后期/误诊及并发症的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/e3ba3749d312/CCR3-12-e8708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/e051380aef97/CCR3-12-e8708-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/2c994a300f22/CCR3-12-e8708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/7753e6c69edb/CCR3-12-e8708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/e3ba3749d312/CCR3-12-e8708-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/e051380aef97/CCR3-12-e8708-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/2c994a300f22/CCR3-12-e8708-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/7753e6c69edb/CCR3-12-e8708-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d51a/10985938/e3ba3749d312/CCR3-12-e8708-g002.jpg

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本文引用的文献

1
Risk Factors for Thoracic Aortic Dissection.胸主动脉夹层的危险因素。
Genes (Basel). 2022 Oct 7;13(10):1814. doi: 10.3390/genes13101814.
2
Early Mortality in Type A Acute Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection.A型急性主动脉夹层的早期死亡率：国际急性主动脉夹层注册研究的新见解。
JAMA Cardiol. 2022 Oct 1;7(10):1009-1015. doi: 10.1001/jamacardio.2022.2718.
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The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection.
胸外科医师学会/美国胸外科协会关于B型主动脉夹层治疗的临床实践指南
Ann Thorac Surg. 2022 Apr;113(4):1073-1092. doi: 10.1016/j.athoracsur.2021.11.002. Epub 2022 Jan 25.
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Anatomy, Pathology, and Classification of Aortic Dissection.主动脉夹层的解剖、病理和分类。
Tech Vasc Interv Radiol. 2021 Jun;24(2):100746. doi: 10.1016/j.tvir.2021.100746. Epub 2021 Jul 26.
5
Clinical Predictors for Delayed or Inappropriate Initial Diagnosis of Type A Acute Aortic Dissection in the Emergency Room.急诊室A型急性主动脉夹层延迟或不恰当初始诊断的临床预测因素
PLoS One. 2015 Nov 11;10(11):e0141929. doi: 10.1371/journal.pone.0141929. eCollection 2015.
6
Presentation, Diagnosis, and Outcomes of Acute Aortic Dissection: 17-Year Trends From the International Registry of Acute Aortic Dissection.急性主动脉夹层的表现、诊断和结局：国际急性主动脉夹层注册研究 17 年趋势。
J Am Coll Cardiol. 2015 Jul 28;66(4):350-8. doi: 10.1016/j.jacc.2015.05.029.
7
Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary artery dissection.急性 A 型主动脉夹层合并冠状动脉夹层患者的风险分析及策略改善。
Eur J Cardiothorac Surg. 2013 Sep;44(3):419-24; discussion 424-5. doi: 10.1093/ejcts/ezt060. Epub 2013 Mar 15.
8
Comparison of outcome in aortic dissection with single false lumen versus multiple false lumens: CT assessment.主动脉夹层单假腔与多假腔预后的比较：CT 评估。
Radiology. 2013 May;267(2):368-75. doi: 10.1148/radiol.12121274. Epub 2013 Jan 7.
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Aortic dissection: a 250-year perspective.主动脉夹层：250年的视角。
Tex Heart Inst J. 2011;38(6):694-700.
10
Factors leading to failure to diagnose acute aortic dissection in the emergency room.导致急诊科急性主动脉夹层漏诊的因素。
J Cardiol. 2011 Nov;58(3):287-93. doi: 10.1016/j.jjcc.2011.07.008. Epub 2011 Sep 3.