Wann S, Jaff M, Dorros G, Sampson C
Cardiovascular Magnetic Resonance Research Unit, St. Luke's Medical Center, Milwaukee, Wisconsin, USA.
Clin Cardiol. 1996 May;19(5):438-9. doi: 10.1002/clc.4960190522.
Aortic dissection is a life-threatening condition which is difficult to diagnose because of its variable clinical presentation and diverse pathophysiologic manifestations. We present a case in which intramural hematoma of the thoracic aorta occurred in the absence of an intimal flap. Computed tomography and magnetic resonance imaging both showed hemorrhage in the wall of the aorta. Transesophageal echocardiography also revealed a penetrating atherosclerotic ulcer in the transverse aorta as a cause of the hematoma. A high index of clinical suspicion and a combination of diagnostic procedures resulted in proper diagnosis and successful surgical treatment.
主动脉夹层是一种危及生命的疾病，由于其临床表现多样且病理生理表现各异，难以诊断。我们报告一例在无内膜瓣的情况下发生胸主动脉壁内血肿的病例。计算机断层扫描和磁共振成像均显示主动脉壁出血。经食管超声心动图也显示横主动脉有穿透性动脉粥样硬化溃疡，为血肿的病因。高度的临床怀疑和多种诊断方法相结合，促成了正确的诊断和成功的手术治疗。
