Fournier C, Barrillon A, Magnier S, Mechmeche R, Vilde F, Cazals F, Gerbaux A
Arch Mal Coeur Vaiss. 1978 Feb;71(2):202-6.
A case is reported of dissection of the aorta in a lady of 35. The condition was complicated first by myocardial infarction and secondly by severe aortic incompetence which led, 20 years after the onset of the dissection, to the death of the patient from intractable heart failure. At post-mortem, an extensive dissection was found to involve the whole of the aorta and several of its branches, but did not involve the coronary arteries, which were normal except for the trunk of the left coronary; this was dilated. The natural history of dissections of the aorta is reviewed. The incidence, course and etiology of coronary aneurysms are also discussed.
报道了一例35岁女性主动脉夹层的病例。病情首先并发心肌梗死，其次并发严重主动脉瓣关闭不全，在夹层发病20年后，患者因顽固性心力衰竭死亡。尸检发现广泛的夹层累及整个主动脉及其多个分支，但未累及冠状动脉，冠状动脉除左冠状动脉主干外均正常，左冠状动脉主干扩张。本文回顾了主动脉夹层的自然病程。还讨论了冠状动脉瘤的发病率、病程和病因。
