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主动脉假性缩窄:术前评估中罕见的偶然发现。

Pseudocoarctation of the Aorta: A Rare Incidental Finding During a Preoperative Assessment.

作者信息

Shafeeq Ahamed, M Nandakumaran, G Prathapkumar, Ramesh Rajasekhar, Christudhas Amalan

机构信息

Cardiology, Madras Medical College, Chennai, IND.

出版信息

Cureus. 2024 Jul 28;16(7):e65574. doi: 10.7759/cureus.65574. eCollection 2024 Jul.

Abstract

Pseudocoarctation of the aorta (PCoA) is a rare congenital anomaly characterized by the abnormal kinking of the thoracic aorta. It is often incidentally diagnosed but gained clinical significance due to its propensity to develop aortic aneurysm and rupture. A standard diagnostic and treatment algorithm for PCoA is lacking, and also, the natural history of the disease is not well studied. We present here a case of PCoA with a fusiform aneurysm of the thoracic aorta to emphasize the need to differentiate it from true coarctation and to rule out associated complications.

摘要

主动脉假性缩窄(PCoA)是一种罕见的先天性异常,其特征为胸主动脉异常扭结。它常为偶然诊断,但因其易于发展为主动脉瘤并破裂而具有临床意义。目前缺乏针对PCoA的标准诊断和治疗方案,而且该疾病的自然病史也尚未得到充分研究。我们在此呈现一例伴有胸主动脉梭形动脉瘤的PCoA病例,以强调将其与真性缩窄相鉴别以及排除相关并发症的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f7/11349246/c7650e6d3c3e/cureus-0016-00000065574-i01.jpg

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