Utoh J, Goto H, Hirata T, Hara M, Yamamoto S, Kitamura N
First Department of Surgery, Kumamoto University School of Medicine, Japan.
J Cardiovasc Surg (Torino). 1997 Aug;38(4):419-20.
A case of acute aortic dissection without intimal tear is reported. A 68-year-old woman with acute onset of Stanford type-B aortic dissection was admitted. Because of progressive anemia and pleural leakage, an operation was performed. False lumen of the descending thoracic aorta was occupied with fresh hematoma, but no sign of an intimal defect was found. Although aortic dissection without intimal tear has been reported via angiography, CT scan, MRI, and autopsy, surgically confirmed cases of this type of dissection have been rarely reported.
报道了一例无内膜撕裂的急性主动脉夹层病例。一名68岁女性因急性Stanford B型主动脉夹层发作入院。由于进行性贫血和胸腔积液，遂行手术。胸降主动脉假腔内充满新鲜血肿，但未发现内膜缺损迹象。尽管通过血管造影、CT扫描、MRI和尸检已报道过无内膜撕裂的主动脉夹层，但这种类型夹层经手术证实的病例鲜有报道。
