Movsowitz H D, Lampert C, Jacobs L E, Kotler M N
Division of Cardiology, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, PA 19141.
Am Heart J. 1994 Dec;128(6 Pt 1):1210-7. doi: 10.1016/0002-8703(94)90753-6.
Penetrating atherosclerotic aortic ulceration is a unique disease with distinct management and prognostic implications. It is an important clinical entity that must be distinguished from classic aortic dissection and rapid expansion or contained rupture of a thoracic aortic aneurysm. Although symptoms of penetrating aortic ulceration may mimic dissection, the characteristic signs of dissection are absent. New imaging modalities have made it possible to establish the diagnosis of penetrating aortic ulceration with a high degree of accuracy and to tailor management according to the presence of complications. Physicians should be aware of the possibility of atherosclerotic aortic ulceration, particularly in elderly patients with systemic atherosclerosis and hypertension who have sudden onset of chest or back pain.
穿透性动脉粥样硬化性主动脉溃疡是一种独特的疾病，具有不同的处理方式和预后意义。它是一个重要的临床实体，必须与典型的主动脉夹层以及胸主动脉瘤的快速扩张或局限性破裂相区分。尽管穿透性主动脉溃疡的症状可能类似于夹层，但夹层的特征性体征并不存在。新的影像学检查手段已使高度准确地诊断穿透性主动脉溃疡并根据并发症的情况制定治疗方案成为可能。医生应意识到动脉粥样硬化性主动脉溃疡的可能性，尤其是在患有全身性动脉粥样硬化和高血压且突然出现胸痛或背痛的老年患者中。
