Takagi H, Hosoi Y, Umemoto T, Tanaka T, Eishi K
Department of Cardiovascular Surgery, National Tousei Hospital, Shizuoka, Japan.
Kyobu Geka. 1995 Jan;48(1):76-9.
A 51-year-old woman was admitted with acute chest and back pain. A CT scan (2 hours after onset) was demonstrated acute type A aortic dissection. The dissecting lumen was already closed with thrombus. A DSA was performed. It showed no intimal tear and a normal aortic figure. Repeat CT (5 hours after onset) was performed. It showed reduction of dissecting lumen compared with previous CT. Although medical treatment was continued, she recomplained intermittent slight chest and back pain. On the sixteenth day after her admission, repeat CT revealed recrudescent dissection and opened dissecting lumen of ascending aorta. Graft replacement was successfully performed using circulatory arrest and retrograde cerebral perfusion. She was discharged in good health.
一名51岁女性因急性胸痛和背痛入院。CT扫描（发病后2小时）显示为急性A型主动脉夹层。夹层管腔内已被血栓闭塞。进行了数字减影血管造影（DSA）。结果显示无内膜撕裂且主动脉形态正常。重复CT检查（发病后5小时）。结果显示与之前的CT相比，夹层管腔缩小。尽管继续进行药物治疗，但她仍反复诉说间歇性轻微胸痛和背痛。入院后第16天，重复CT显示夹层复发且升主动脉夹层管腔开放。采用循环阻断和逆行脑灌注成功进行了人工血管置换术。她康复出院。
