[一例急性血栓形成的主动脉夹层（斯坦福A型）合并真性主动脉弓动脉瘤]
[A case of acute thrombosed aortic dissection (Stanford type A) in association with a true aortic arch aneurysm].
作者信息
Yamamoto H, Moriyama Y, Toyohira H, Watanabe S, Shimokawa S, Taira A
机构信息
Second Department of Surgery, Kagoshima University, Faculty of Medicine, Japan.
出版信息
Nihon Kyobu Geka Gakkai Zasshi. 1996 Oct;44(10):1945-8.
We have experienced a rare case of Stanford type A thrombosed aortic dissection in association with true aortic arch aneurysm. A 73-year-old male with asymptomatic true aortic arch aneurysm had sudden onset of severe back pain. A through examination clarified that he had Stanford type A aortic dissection coexisting with true aneurysm. In operation, we found a tear on intima of the proxymal-part of the true aneurysm. Pathologically, dissection confined to the ascending aorta did not involve the true aneurysm. The replacement of ascending aorta and aortic arch was successfully accomplished. The combination of true aortic arch aneurysm and Stanford type A aortic dissection is rare bibliographically.
我们遇到了一例罕见的伴有真性主动脉弓动脉瘤的斯坦福A型血栓形成性主动脉夹层病例。一名73岁男性，患有无症状真性主动脉弓动脉瘤，突然出现严重背痛。全面检查明确他患有与真性动脉瘤并存的斯坦福A型主动脉夹层。手术中，我们在真性动脉瘤近端内膜发现一处撕裂。病理检查显示，局限于升主动脉的夹层未累及真性动脉瘤。成功完成了升主动脉和主动脉弓置换术。从文献记载来看，真性主动脉弓动脉瘤与斯坦福A型主动脉夹层同时存在的情况很罕见。
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