Van Camp G, Liebens I, Silance P G, Cham B, Vandenbossche J L
Department of Cardiology, St Pierre University Hospital, Brussels, Belgium.
Br Heart J. 1994 Oct;72(4):400-2. doi: 10.1136/hrt.72.4.400.
A 72 year old man was admitted with severe dyspnoea. Ten days before he had had intense thoracic pain with loss of consciousness that was followed by increased dyspnoea. A continuous murmur was heard in the precordial and the left infrascapular regions. Lung auscultation showed stasis over the lower half of both lungs. Transthoracic echocardiography showed a bicuspid aortic valve and a dissection of the proximal aorta, which was considerably enlarged. Transoesophageal echocardiography confirmed dissection of the proximal aorta and showed a communication from the false lumen of the aortic dissection to the left atrium; and colour flow Doppler showed a continuous shunt to the left atrium. After transoesophageal echocardiography the patient had emergency surgical repair, which was successful. He had no complications in the post-operative period.
一名72岁男性因严重呼吸困难入院。10天前，他曾出现剧烈胸痛并伴有意识丧失，随后呼吸困难加重。心前区和左肩胛下区域可闻及连续性杂音。肺部听诊显示双肺下半部有淤血。经胸超声心动图显示二叶式主动脉瓣和近端主动脉夹层，近端主动脉明显增宽。经食管超声心动图证实了近端主动脉夹层，并显示主动脉夹层假腔与左心房相通；彩色多普勒血流显像显示有持续分流至左心房。经食管超声心动图检查后，患者接受了急诊手术修复，手术成功。术后患者无并发症。
