Ohge H, Imai K, Shiraga K, Kohno S, Komiya T, Kanzaki Y
Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Jun;43(6):866-9.
We experienced a case of acute aortic dissection without an intimal tear. A 55-year-old woman with SLE presented with acute chest pain. TEE study showed dissection of the ascending aorta, and accompanied by pericardial effusion. An emergency operation was performed four hours after onset. Intraoperatively, thrombus was encountered in the false lumen of the ascending aorta and the proximal arch. However, intimal tear was not found. She underwent graft replacement of the ascending aorta and the total aortic arch, and had an uneventful postoperative course. Histological examination of a segment of ascending aorta showed no evidence of mucinous degeneration and pathological rupture of the elastic fiber.
我们遇到了一例无内膜撕裂的急性主动脉夹层病例。一名55岁的系统性红斑狼疮女性患者出现急性胸痛。经食管超声心动图（TEE）检查显示升主动脉夹层，并伴有心包积液。发病4小时后进行了急诊手术。术中，在升主动脉和近端主动脉弓的假腔内发现血栓。然而，未发现内膜撕裂。她接受了升主动脉和全主动脉弓的人工血管置换术，术后病程平稳。对一段升主动脉进行组织学检查，未发现黏液样变性和弹性纤维病理性破裂的证据。
