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新型冠状病毒肺炎感染与主动脉夹层

COVID-19 Infection and Massive Aortic Dissection.

作者信息

Zangeneh Mehrangiz, Khosravaninezhad Yasamin, Mesgarian Masoumeh

机构信息

Infectious Diseases Department Islamic Azad University of Medical Sciences Tehran Iran.

Health Policy Center Shiraz University of Medical Sciences Shiraz Iran.

出版信息

Clin Case Rep. 2024 Dec 3;12(12):e9659. doi: 10.1002/ccr3.9659. eCollection 2024 Dec.

DOI:10.1002/ccr3.9659
PMID:39629037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612659/
Abstract

COVID-19 had a significant impact on public health, including respiratory and cardiovascular complications. Because of COVID-19 hypercoaglupathy effect, it can lead to cardiovascular complications. A 68-year-old Iranian male admitted to the infectious diseases department with the diagnosis of COVID-19 infection. Despite initially stable vital signs and mild symptoms, the patient's condition rapidly deteriorated over the course of several days, with severe respiratory distress and other concerning symptoms. Further investigations revealed evidence of aortic aneurysm or dissection, which was confirmed to be a Stanford type A aortic dissection extending from the aortic root to the abdominal aorta. The available evidence points to a potential association between COVID-19 infection and aortic dissection, and the need for continue investigations about the pathophysiological mechanisms underlying this relationship.

摘要

新冠病毒病对公众健康产生了重大影响,包括引发呼吸道和心血管并发症。由于新冠病毒病的高凝效应,它可导致心血管并发症。一名68岁的伊朗男性因新冠病毒感染被收治入传染病科。尽管患者最初生命体征稳定且症状较轻,但在数天内病情迅速恶化,出现严重呼吸窘迫及其他令人担忧的症状。进一步检查发现有主动脉瘤或主动脉夹层的迹象,确诊为从主动脉根部延伸至腹主动脉的斯坦福A型主动脉夹层。现有证据表明新冠病毒感染与主动脉夹层之间可能存在关联,且有必要继续研究这种关系背后的病理生理机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff9/11612659/7fd6d7ae41af/CCR3-12-e9659-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff9/11612659/7fd6d7ae41af/CCR3-12-e9659-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff9/11612659/7fd6d7ae41af/CCR3-12-e9659-g001.jpg

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本文引用的文献

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Management of acute aortic services during the COVID-19 pandemic: a retrospective cohort study from the Middle East.2019冠状病毒病大流行期间急性主动脉疾病的管理:一项来自中东的回顾性队列研究
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Delayed Surgical Management of Acute Type A Aortic Dissection in a Patient with Recent COVID-19 Infection and Post-COVID-19 Bronchopneumonia-Case Report and Review of Literature.近期 COVID-19 感染及新冠后支气管肺炎患者的急性 A 型主动脉夹层延迟外科治疗:病例报告及文献复习。
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Clin Case Rep. 2022 Mar 22;10(3):e05617. doi: 10.1002/ccr3.5617. eCollection 2022 Mar.
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Acute pulmonary embolism following acute type A aortic dissection in a patient with COVID-19.COVID-19 患者发生急性 A 型主动脉夹层后出现急性肺栓塞。
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Acute aortic dissection in a patient with Williams syndrome infected by COVID-19.COVID-19 感染的威廉姆斯综合征患者发生急性主动脉夹层。
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