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主动脉壁内血肿患者并发肺动脉外膜下血肿:一例报告

Pulmonary Artery Periadventitial Hematoma in a Patient with Aortic Intramural Hematoma: A Case Report.

作者信息

Kwon Hoon, Jeong Yeon Joo, Lee Geewon, Hwang Minhee, Kim Jin You, Lee Nam Kyung, Lee Ji Won

出版信息

J Korean Soc Radiol. 2024 May;85(3):649-653. doi: 10.3348/jksr.2023.0087. Epub 2024 May 14.

DOI:10.3348/jksr.2023.0087
PMID:38873368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11166591/
Abstract

A pulmonary artery periadventitial hematoma is a rare complication of a Stanford type A intramural hematoma. As the proximal ascending aorta and pulmonary artery share a common adventitial layer, extravasated blood from the intramural hematoma in the ascending thoracic aorta may extend to beneath the adventitia of the pulmonary artery. The authors describe a case involving a 66-year-old male with acute chest pain who presented with a pulmonary artery periadventitial hematoma associated with a Stanford type A intramural hematoma.

摘要

肺动脉外膜周围血肿是斯坦福A型主动脉壁内血肿的一种罕见并发症。由于升主动脉近端和肺动脉共用一层外膜,胸段升主动脉壁内血肿渗出的血液可能延伸至肺动脉外膜下方。作者描述了一例病例,一名66岁男性因急性胸痛就诊,被诊断为与斯坦福A型主动脉壁内血肿相关的肺动脉外膜周围血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/11166591/cdc909901131/jksr-85-649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/11166591/cdc909901131/jksr-85-649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/11166591/cdc909901131/jksr-85-649-g001.jpg

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1
Pulmonary Artery Periadventitial Hematoma in a Patient with Aortic Intramural Hematoma: A Case Report.主动脉壁内血肿患者并发肺动脉外膜下血肿:一例报告
J Korean Soc Radiol. 2024 May;85(3):649-653. doi: 10.3348/jksr.2023.0087. Epub 2024 May 14.
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本文引用的文献

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2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.2022 ACC/AHA 血管疾病诊断与管理指南:美国心脏协会/美国心脏病学会联合临床实践指南委员会的报告。
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Case Series: Pulmonary Artery Intramural Hematoma in Stanford Type A Acute Aortic Dissection.病例系列:斯坦福A型急性主动脉夹层中的肺动脉壁内血肿
J Belg Soc Radiol. 2021 Jun 8;105(1):34. doi: 10.5334/jbsr.2446.
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Pulmonary artery sheath hematoma.
肺动脉鞘血肿。
Ann Card Anaesth. 2021 Apr-Jun;24(2):232-233. doi: 10.4103/aca.ACA_135_20.
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Aortic Dissection and Other Acute Aortic Syndromes: Diagnostic Imaging Findings from Acute to Chronic Longitudinal Progression.主动脉夹层和其他急性主动脉综合征:从急性到慢性的纵向进展的诊断成像表现。
Radiographics. 2021 Mar-Apr;41(2):425-446. doi: 10.1148/rg.2021200138.
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Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis.急性A型主动脉壁内血肿的治疗:早期手术还是个体化治疗?一项回顾性分析和荟萃分析。
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Aortic intramural haematoma associated with pulmonary artery periadventitial haematoma.主动脉壁内血肿伴肺动脉外膜周围血肿。
BMJ Case Rep. 2018 May 18;2018:bcr-2018-224853. doi: 10.1136/bcr-2018-224853.
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Eur J Radiol. 2016 Jan;85(1):239-247. doi: 10.1016/j.ejrad.2015.11.025. Epub 2015 Nov 24.
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CT and clinical features of hemorrhage extending along the pulmonary artery due to ruptured aortic dissection.主动脉夹层破裂致出血沿肺动脉蔓延的CT及临床特征
Eur Radiol. 2009 May;19(5):1166-74. doi: 10.1007/s00330-008-1272-7. Epub 2009 Jan 21.
10
Interstitial pulmonary hemorrhage from mediastinal hematoma secondary to aortic rupture.继发于主动脉破裂的纵隔血肿导致的间质性肺出血。
Radiology. 1987 Jul;164(1):286-7. doi: 10.1148/radiology.164.1.286-b.