Roller D H, Muna W F, Ross A M
Chest. 1979 May;75(5):641-3. doi: 10.1378/chest.75.5.641.
A patient with psoriasis, HLA-B27-positive sacroiliitis, and aortitis presented with clinical features suggesting acute aortic dissecting aneurysm. Although M-mode and two dimensional echocardiography supported the diagnosis, dissection was excluded by angiography and by direct observation at surgery. Asymmetric thickening of the right coronary cusp secondary to psoriatic aortitis was found to be etiologic of both the regurgitation and the false-positive echo for dissection. It is emphasized that in the setting of any fibrocalcific or inflammatory disease of the aorta, the echo diagnosis of dissection is fraught with hazard.
一名患有银屑病、HLA - B27阳性骶髂关节炎和主动脉炎的患者，其临床特征提示急性主动脉夹层动脉瘤。尽管M型和二维超声心动图支持该诊断，但血管造影和手术中的直接观察排除了夹层。发现银屑病性主动脉炎继发的右冠状动脉瓣叶不对称增厚是反流和夹层假阳性回声的病因。需要强调的是，在任何主动脉纤维钙化或炎症性疾病的情况下，夹层的超声诊断都充满风险。
