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以急性主动脉夹层为表现的急性心包炎病例报告

A Case Report of Acute Pericarditis Presenting With Acute Aortic Dissection.

作者信息

Morello Pamella, Abdelmoneim Sahar S, Armas Gonzalez Patricia D, Pastori Santiago, Gomez Sabas

机构信息

Internal Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.

Internal Medicine, Larkin Community Hospital, Hialeah, USA.

出版信息

Cureus. 2024 Nov 16;16(11):e73818. doi: 10.7759/cureus.73818. eCollection 2024 Nov.

Abstract

This case report presents a rare occurrence of acute pericarditis coinciding with acute aortic dissection (AAD), emphasizing the significance of recognizing and managing these dual conditions effectively. It highlights the necessity of a multidisciplinary approach and underscores the importance of maintaining a high index of suspicion regardless of symptomatology to ensure prompt patient management and complication prevention. This case describes a 91-year-old male patient, who initially presented with mild chest pain, and was later diagnosed with AAD alongside acute pericarditis. The report emphasizes the critical role of early recognition in such presentations and aims to enhance awareness among healthcare professionals and readers regarding this complex disease and its potential complications.

摘要

本病例报告展示了急性心包炎与急性主动脉夹层(AAD)同时发生的罕见情况,强调了有效识别和处理这两种并发疾病的重要性。它突出了多学科方法的必要性,并强调无论症状如何都要保持高度怀疑指数的重要性,以确保对患者进行及时治疗并预防并发症。本病例描述了一名91岁男性患者,他最初表现为轻度胸痛,后来被诊断为AAD并发急性心包炎。该报告强调了在此类病例中早期识别的关键作用,旨在提高医疗专业人员和读者对这种复杂疾病及其潜在并发症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f8/11650104/14ea325d2829/cureus-0016-00000073818-i01.jpg

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