慢性无症状性斯坦福A型主动脉夹层中的巨大主动脉根部血栓形成
Giant Aortic Root Thrombus in a Chronic, Asymptomatic Stanford Type A Aortic Dissection.
作者信息
Baquero Laura, Loaisiga Hilda, Alvarado Eduardo
机构信息
Cardiology Fellowship, University of Costa Rica, San Jose, Costa Rica.
Department of Cardiology, Hospital San Vicente de Paul, San Jose, Costa Rica.
出版信息
JACC Case Rep. 2024 Apr 17;29(8):102249. doi: 10.1016/j.jaccas.2024.102249.
Type A aortic dissection rarely becomes chronic because of high early mortality. Thrombus in the false lumen and an immobile flap are indicative of this condition. A 61-year-old man with an initial diagnosis of gastroenteritis later presented with a diastolic murmur. Echocardiography revealed chronic Stanford A aortic dissection with a thrombus causing severe aortic regurgitation.
A型主动脉夹层由于早期死亡率高，很少会发展为慢性。假腔内的血栓和固定不动的内膜瓣是这种情况的指征。一名最初诊断为肠胃炎的61岁男性后来出现舒张期杂音。超声心动图显示为慢性斯坦福A型主动脉夹层，伴有血栓导致严重主动脉瓣反流。
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