• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

合并双叶式主动脉瓣患者主动脉夹层的放射学诊断与急诊处理：病例报告

Radiological Diagnosis and Emergency Management of Aortic Dissection in a Patient With a Fused Bicuspid Aortic Valve: A Case Study.

作者信息

Alfazza'a Thshreen S, Almashaqbeh Suleiman N, Saleh Diyaa A, Ibrahim Samer H, Alnemrat Noof Y

机构信息

Emergency, Princess Iman/Maadi Hospital, Deir Alla District, JOR.

Internal Medicine, New Zarqa Governmental Hospital, Zarqa, JOR.

出版信息

Cureus. 2024 Nov 11;16(11):e73426. doi: 10.7759/cureus.73426. eCollection 2024 Nov.

DOI:10.7759/cureus.73426
PMID:39534549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11556443/
Abstract

This report presents a case of an acute Type A aortic dissection in a young patient with atypical symptoms, highlighting the importance of prompt radiology-aided diagnosis and intervention. A 29-year-old male with no significant medical history presented with right upper quadrant and epigastric pain, along with leg numbness. Extensive imaging revealed an ascending aortic dissection with a 5.1 cm aneurysm and moderate-to-severe pericardial effusion. After initial stabilization, an emergency Bentall procedure with mechanical valve replacement was performed. It emphasizes the importance of considering aortic dissection in young patients with atypical symptoms, as it can mimic other conditions, complicating timely diagnosis and management. The postoperative course was uneventful, and the patient stabilized in the intensive care unit (ICU). Early recognition and rapid surgical intervention are crucial in managing atypical aortic dissection cases, especially in younger patients with minimal risk factors.

摘要

本报告介绍了一例年轻患者发生急性A型主动脉夹层，伴有非典型症状，强调了及时进行放射学辅助诊断和干预的重要性。一名无重大病史的29岁男性出现右上腹和上腹部疼痛，伴有腿部麻木。广泛的影像学检查显示升主动脉夹层，伴有一个5.1厘米的动脉瘤和中至重度心包积液。在初步稳定病情后，进行了紧急Bentall手术并置换机械瓣膜。这强调了对于有非典型症状的年轻患者考虑主动脉夹层的重要性，因为它可能会模仿其他病症，使及时诊断和治疗复杂化。术后过程平稳，患者在重症监护病房（ICU）病情稳定。早期识别和快速手术干预对于处理非典型主动脉夹层病例至关重要，尤其是对于危险因素极少的年轻患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984d/11556443/e034834add2f/cureus-0016-00000073426-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984d/11556443/50ac0c2d4c0c/cureus-0016-00000073426-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984d/11556443/e034834add2f/cureus-0016-00000073426-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984d/11556443/50ac0c2d4c0c/cureus-0016-00000073426-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984d/11556443/e034834add2f/cureus-0016-00000073426-i02.jpg

相似文献

1
Radiological Diagnosis and Emergency Management of Aortic Dissection in a Patient With a Fused Bicuspid Aortic Valve: A Case Study.合并双叶式主动脉瓣患者主动脉夹层的放射学诊断与急诊处理：病例报告
Cureus. 2024 Nov 11;16(11):e73426. doi: 10.7759/cureus.73426. eCollection 2024 Nov.
2
Painless Presentation of a Deadly Disease: Type A Aortic Dissection Requiring the Bentall Procedure.一种致命疾病的无痛表现：需要进行Bentall手术的A型主动脉夹层。
Eur J Case Rep Intern Med. 2022 Mar 1;9(3):003197. doi: 10.12890/2022_003197. eCollection 2022.
3
Painless Aortic Dissection with Catastrophic Consequences Presenting as Sudden Loss of Consciousness with no Prodromal Symptoms.无痛性主动脉夹层伴灾难性后果，表现为突发意识丧失且无前驱症状。
Eur J Case Rep Intern Med. 2023 Sep 21;10(11):004081. doi: 10.12890/2023_004081. eCollection 2023.
4
Emergency surgical management of acute aortic dissection: role of transesophageal echocardiography.急性主动脉夹层的急诊外科治疗：经食管超声心动图的作用
G Ital Cardiol. 1999 Oct;29(10):1137-41.
5
Case report: Surgical management of type 2 aortic dissection associated with bicuspid aortic valve and aortic coarctation.病例报告：合并二叶式主动脉瓣和主动脉缩窄的2型主动脉夹层的外科治疗
SAGE Open Med Case Rep. 2024 Oct 31;12:2050313X241296300. doi: 10.1177/2050313X241296300. eCollection 2024.
6
Management strategies in pericardial emergencies.心包急症的管理策略。
Herz. 2006 Dec;31(9):891-900. doi: 10.1007/s00059-006-2937-0.
7
[Acute Aortic Dissection Escaping Cardiac Tamponade due to Congenital Pericardial Defect:Report of a Case].先天性心包缺损致急性主动脉夹层逃脱心脏压塞：一例报告
Kyobu Geka. 2023 Sep;76(9):719-722.
8
Bentall procedure as a lifesaving surgery: A single center experience.作为一种挽救生命手术的Bentall手术：单中心经验
Med Int (Lond). 2023 Jan 10;3(1):8. doi: 10.3892/mi.2023.68. eCollection 2023 Jan-Feb.
9
Acute aortic dissection in a young patient without Marfan fibrillinopathy: a case report.一名无马凡氏原纤维蛋白病的年轻患者的急性主动脉夹层：病例报告。
Cases J. 2009 Apr 28;2:7076. doi: 10.1186/1757-1626-0002-0000007076.
10
Bicuspid aortic valve disease and ascending aortic aneurysm: should an aortic root replacement be mandatory?†.二叶式主动脉瓣疾病与升主动脉瘤：主动脉根部置换是否应成为必要治疗手段？†
Eur J Cardiothorac Surg. 2016 Jan;49(1):103-9. doi: 10.1093/ejcts/ezv069. Epub 2015 Mar 6.

本文引用的文献

1
Atypical Presentation of a Type A Aortic Dissection in a Patient With an Undiagnosed Genetic Predisposition.一名患有未确诊遗传易感性患者的A型主动脉夹层的非典型表现。
Cureus. 2024 Mar 18;16(3):e56394. doi: 10.7759/cureus.56394. eCollection 2024 Mar.
2
Family screening for bicuspid aortic valve and aortic dilatation: a meta-analysis.家族性二叶式主动脉瓣和主动脉扩张的筛查：一项荟萃分析。
Eur Heart J. 2023 Sep 1;44(33):3152-3164. doi: 10.1093/eurheartj/ehad320.
3
Valvular Heart Disease Epidemiology.瓣膜性心脏病流行病学。
Med Sci (Basel). 2022 Jun 15;10(2):32. doi: 10.3390/medsci10020032.
4
Aortic dissection masquerading as a bicuspid aortic valve.伪装成二叶式主动脉瓣的主动脉夹层。
J Anaesthesiol Clin Pharmacol. 2017 Oct-Dec;33(4):541-543. doi: 10.4103/0970-9185.168160.
5
Prediction of years of life after diagnosis of breast cancer using omics and omic-by-treatment interactions.利用组学及组学与治疗的相互作用预测乳腺癌诊断后的生存年限
Eur J Hum Genet. 2017 May;25(5):538-544. doi: 10.1038/ejhg.2017.12. Epub 2017 Mar 8.
6
Bicuspid Aortic Valve: a Review with Recommendations for Genetic Counseling.二叶式主动脉瓣：综述及遗传咨询建议
J Genet Couns. 2016 Dec;25(6):1171-1178. doi: 10.1007/s10897-016-0002-6. Epub 2016 Aug 22.
7
Diagnostic performance of focused cardiac ultrasound performed by emergency physicians for the assessment of ascending aorta dilation and aneurysm.急诊医生进行的聚焦心脏超声对升主动脉扩张和动脉瘤评估的诊断性能。
Acad Emerg Med. 2015 May;22(5):536-41. doi: 10.1111/acem.12650. Epub 2015 Apr 21.
8
Management of acute aortic dissection.急性主动脉夹层的处理。
Lancet. 2015 Feb 28;385(9970):800-11. doi: 10.1016/S0140-6736(14)61005-9. Epub 2015 Feb 6.
9
2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).2014年欧洲心脏病学会（ESC）主动脉疾病诊断和治疗指南：涵盖成人胸主动脉和腹主动脉急慢性疾病的文件。欧洲心脏病学会（ESC）主动脉疾病诊断和治疗特别工作组。
Eur Heart J. 2014 Nov 1;35(41):2873-926. doi: 10.1093/eurheartj/ehu281. Epub 2014 Aug 29.
10
Bicuspid aortic valve: identifying knowledge gaps and rising to the challenge from the International Bicuspid Aortic Valve Consortium (BAVCon).二叶式主动脉瓣：识别知识空白并应对来自国际二叶式主动脉瓣联盟（BAVCon）的挑战。
Circulation. 2014 Jun 24;129(25):2691-704. doi: 10.1161/CIRCULATIONAHA.113.007851.