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一名年轻成人的主动脉弓中断合并A型主动脉夹层

Interrupted Aortic Arch Complicated with Type A Aortic Dissection in a Young Adult.

作者信息

Dua Ashish, Sharma Arun, Kumar Rupesh, Singhal Manphool

机构信息

Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of CTVS, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Heart Views. 2024 Jul-Sep;25(3):166-168. doi: 10.4103/heartviews.heartviews_39_24. Epub 2025 Jan 4.

DOI:10.4103/heartviews.heartviews_39_24
PMID:40028255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11867170/
Abstract

Interrupted aortic arch (IAA) is a congenital anomaly characterized by a discontinuity between the ascending and descending aorta. We present a 27-year-old male patient who had presented with Stanford Type A aortic dissection and was subsequently found to have IAA on computed tomography aortogram. The patient subsequently underwent emergency surgery for the repair of aortic dissection. Although few studies with IAA and coexistent Stanford type-B aortic dissection have been described, there is no reported case in literature on IAA with Stanford Type A aortic dissection.

摘要

主动脉弓中断（IAA）是一种先天性异常，其特征为升主动脉和降主动脉之间存在连续性中断。我们报告一名27岁男性患者，该患者最初表现为斯坦福A型主动脉夹层，随后在主动脉计算机断层血管造影检查中发现患有IAA。该患者随后接受了主动脉夹层修复的急诊手术。虽然很少有关于IAA合并并存斯坦福B型主动脉夹层的研究报道，但文献中尚无IAA合并斯坦福A型主动脉夹层的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9289/11867170/139f28890a4b/HV-25-166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9289/11867170/e3b8428fca1e/HV-25-166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9289/11867170/139f28890a4b/HV-25-166-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9289/11867170/e3b8428fca1e/HV-25-166-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9289/11867170/139f28890a4b/HV-25-166-g002.jpg

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本文引用的文献

1
Stenotic lesions of aorta: Imaging evaluation using multidetector computed tomography angiography.主动脉狭窄性病变：多排螺旋 CT 血管造影成像评估。
Asian Cardiovasc Thorac Ann. 2021 Nov;29(9):884-892. doi: 10.1177/02184923211024094. Epub 2021 Jun 8.
2
Is surgery necessary for adults with isolated interrupted aortic arch?: Case series with literature review.成人孤立性主动脉弓中断是否需要手术？：病例系列并文献复习。
J Card Surg. 2021 Jul;36(7):2467-2475. doi: 10.1111/jocs.15525. Epub 2021 Apr 12.
3
Isolated interrupted aortic arch in an adult: A case report.
成人孤立性主动脉弓中断：一例报告。
World J Clin Cases. 2021 Feb 6;9(4):992-998. doi: 10.12998/wjcc.v9.i4.992.
4
Isolated aortic interruption complicated by type B aortic dissection: A rare case of "double trouble".孤立性主动脉中断合并B型主动脉夹层：一例罕见的“双重麻烦”病例。
J Cardiovasc Comput Tomogr. 2020 Sep-Oct;14(5):e11-e12. doi: 10.1016/j.jcct.2018.09.011. Epub 2018 Oct 1.
5
Isolated interrupted aortic arch accompanied by type B aortic dissection and extensive collateral arteries diagnosed with MDCT angiography.孤立性主动脉弓中断伴 B 型主动脉夹层和广泛侧支循环动脉，经 MDCT 血管造影诊断。
Clin Imaging. 2012 Sep-Oct;36(5):602-5. doi: 10.1016/j.clinimag.2011.12.021. Epub 2012 Jun 8.
6
Complete aortic arch obstruction: interruption or aortic coarctation?完全性主动脉弓梗阻：中断还是主动脉缩窄？
Int J Cardiovasc Imaging. 2004 Oct;20(5):393-6. doi: 10.1023/b:caim.0000041965.64150.bb.