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升主动脉瘤合并主动脉缩窄的解剖

Dissection of an aneurysmal ascending aorta in association with coarctation of the aorta.

作者信息

Lawson R A, Fenn A

出版信息

Thorax. 1979 Oct;34(5):606-11. doi: 10.1136/thx.34.5.606.

DOI:10.1136/thx.34.5.606
PMID:515981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC471133/
Abstract

A previously fit 21-year-old man presented with severel central chest pain. Clinical, electrocardiographic, and echocardiographic examination confirmed a dissection of an aneurysmal ascending aorta in the presence of previously undiagnosed severe aortic coarctation. Initial aortic dissection had occurred five days before admission. The medical and staged surgical management of the case are presented. Surgical survival with such a combination of lesions does not appear to have been previously recorded.

摘要

一名既往健康的21岁男性出现严重的胸痛。临床、心电图及超声心动图检查证实为升主动脉瘤夹层，同时存在此前未诊断出的严重主动脉缩窄。首次主动脉夹层发生在入院前5天。本文介绍了该病例的药物及分期手术治疗情况。此前似乎尚未有过这种病变组合的手术存活记录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/fdae6f4a25e1/thorax00167-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/aa3d3975c60d/thorax00167-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/8d4c04e05309/thorax00167-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/281e2ee61cac/thorax00167-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/773ec75646b6/thorax00167-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/e099f8ac450e/thorax00167-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/fdae6f4a25e1/thorax00167-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/aa3d3975c60d/thorax00167-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/8d4c04e05309/thorax00167-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/281e2ee61cac/thorax00167-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/773ec75646b6/thorax00167-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/e099f8ac450e/thorax00167-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5247/471133/fdae6f4a25e1/thorax00167-0040-a.jpg

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引用本文的文献

1
Repair of acute dissection of the ascending aorta associated with aortic coarctation.升主动脉急性夹层合并主动脉缩窄的修复术。
Tex Heart Inst J. 1996;23(2):170-3.

本文引用的文献

1
TREATMENT OF DISSECTING ANEURYSMS OF THE AORTA WITHOUT SURGERY.非手术治疗主动脉夹层动脉瘤
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2
Association of aortic valvular disease and cystic medial necrosis of the ascending aorta; report of four instances.主动脉瓣疾病与升主动脉中层囊性坏死的关联；四例报告。
Circulation. 1957 Aug;16(2):188-94. doi: 10.1161/01.cir.16.2.188.
3
Coarctation of the aorta associated with an aneurysm leaking into the bronchial tree, treated by aortic resection and grafting.主动脉缩窄合并动脉瘤破裂入支气管树，行主动脉切除及移植术治疗。
Proc R Soc Med. 1956 Oct;49(10):729-31. doi: 10.1177/003591575604901003.
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Ruptured aortic aneurysm in a 3 and one half-year-old child with coarctation of the aorta.
Can Med Assoc J. 1969 Feb 1;100(5):257-61.
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Management of acute aortic dissections.急性主动脉夹层的管理。
Ann Thorac Surg. 1970 Sep;10(3):237-47. doi: 10.1016/s0003-4975(10)65594-4.
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Aneurysms of all sinuses of Valsalva in patients with Marfan's syndrome: an unusual late complication following replacement of aortic valve and ascending aorta for aortic regurgitation and fusiform aneurysm of ascending aorta.马方综合征患者的所有瓦尔萨尔瓦窦瘤：主动脉瓣置换及升主动脉置换治疗主动脉瓣反流和升主动脉梭形动脉瘤后一种不寻常的晚期并发症。
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Aneurysms of the thoracic aorta complicating coarctation.合并主动脉缩窄的胸主动脉瘤
Circulation. 1973 Jul;48(1):195-201. doi: 10.1161/01.cir.48.1.195.
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Aortic rupture in children as a complication of coarctation of the aorta.
Arch Surg. 1973 Dec;107(6):838-41. doi: 10.1001/archsurg.1973.01350240010005.
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Reconstruction of the aortic valve. Correcting valve incompetence due to acute dissecting aneurysm.
Arch Surg. 1973 Jan;106(1):35-7. doi: 10.1001/archsurg.1973.01350130037008.
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Dissection of the thoracic aorta. Medical or surgical therapy?胸主动脉夹层。内科治疗还是外科治疗？
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