Kroese A J, Myhre H O, Midtbo K, Jakobsen A
Scand J Thorac Cardiovasc Surg. 1977;11(2):137-9.
Following a period of two years with gradually increasing dyspnoe, the patient, a 29-year-old man, suddenly developed acute respiratory distress. On admission to hospital, blood pressure was 260/110, and there were no femoral pulses. Cine-angiography of the aorta revealed a total occlusion from the level of the first lumbar vertebra to the renal arteries. An extensive collateral circulation was visualized. Kidney function was normal. At operation, the aorta was as hard as stone, but the calibre was normal from the diaphragm down to the renal arteries. A dacron graft was inserted, end-to-side between the thoracic aorta and the abdominal aorta distal to the inferior mesenteric artery. Postoperatively, the systemic and ankle blood pressure became near normal. The aetiology of the aortic changes remains unknown. Several possibilities are considered, among them abdominal aortitis and cystic necrosis of the media. Coarctation of the abdominal aorta is less likely, as no narrowing of the aorta was seen at operation.
在经历了两年逐渐加重的呼吸困难后，该患者，一名29岁男性，突然出现急性呼吸窘迫。入院时血压为260/110，股动脉搏动消失。主动脉血管造影显示从第一腰椎水平至肾动脉完全闭塞。可见广泛的侧支循环。肾功能正常。手术中，主动脉硬如石头，但从膈肌至肾动脉的管径正常。在胸主动脉和肠系膜下动脉远端的腹主动脉之间进行端侧吻合，植入了涤纶人工血管。术后，全身和踝部血压接近正常。主动脉病变的病因仍不清楚。考虑了几种可能性，其中包括腹主动脉炎和中膜囊性坏死。腹主动脉缩窄的可能性较小，因为手术中未发现主动脉狭窄。
