Greenberg D I, Davia J E, Fenoglio J, McAllister H A, Cheitlin M D
Arch Intern Med. 1979 Jan;139(1):108-9.
Two patients with coarctation of the aorta initially had acute idiopathic pericarditis with anterior pleuritic chest pain as the chief complaint. A pericardial friction rub was present in both patients. Both patients died suddenly. At autopsy, they were found to have a dissecting aneurysm of the ascending aorta with extension into the pericardial space; acute pericardial tamponade was the cause of death. We recommend that when a patient with coarctation of the aorta is admitted with pericarditis, aortic dissection should be considered and appropriate diagnostic procedures undertaken. In all young patients with acute pericarditis there should be careful palpation of the femoral pulses and review of the chest x-ray film for rib notching.
两名主动脉缩窄患者最初以急性特发性心包炎伴前胸胸膜炎性胸痛为主要症状就诊。两名患者均有心包摩擦音。两名患者均突然死亡。尸检发现，他们患有升主动脉夹层动脉瘤并延伸至心包腔；急性心包填塞是死因。我们建议，当主动脉缩窄患者因心包炎入院时，应考虑主动脉夹层并进行适当的诊断程序。对于所有急性心包炎的年轻患者，都应仔细触诊股动脉搏动并复查胸部X光片以查看有无肋骨切迹。
