Prat A, Saez De Ibarra J, Beregi J P, Doisy V
Department of Cardio Vascular Surgery, Service de CCV A, Hôpital Cardiologique, Lille, France.
Eur J Cardiothorac Surg. 1997 Sep;12(3):510-2. doi: 10.1016/s1010-7940(97)00201-7.
A 60-year-old man was admitted at his local hospital for persistent chest pain and suspicion of aortic dissection. No evidence of aortic dissection or intimal disruption was noted by means of computed tomography and transesophageal echocardiography. A localized intramural hematoma of the ascending aorta was found. He was first treated medically and remained asymptomatic for 8 days when he developed a new episode of chest pain. He was found to have an acute type A dissection by computed tomography. He underwent graft replacement of the ascending aorta and had an uneventful post-operative course. This case report describes the development of true aortic dissection in a patient who previously had a localized intramural hematoma.
一名60岁男性因持续性胸痛并怀疑主动脉夹层而入住当地医院。通过计算机断层扫描和经食管超声心动图未发现主动脉夹层或内膜破裂的证据。发现升主动脉有局限性壁内血肿。他首先接受药物治疗，8天来一直无症状，之后出现了新的胸痛发作。计算机断层扫描显示他患有急性A型夹层。他接受了升主动脉移植置换术，术后过程顺利。本病例报告描述了一名先前患有局限性壁内血肿的患者发生真性主动脉夹层的情况。
