Carreño J A, Llaneza J M, Alvarez L J, Menéndez M A, Rodríguez-Olay J, Vallina M, Fernández J I, Fernández R, Camblor L, Gutiérrez J M
Department of Vascular Surgery, Hospital Central-Hospital General de Asturias, Oviedo, Spain.
Ann Vasc Surg. 1998 Jul;12(4):373-8. doi: 10.1007/s100169900171.
A case of spontaneous acute infrarenal aortic dissection, with extension to the right common iliac artery and proximally to just below the origin of the renal arteries is presented. This dissection did not involve the visceral vessels nor the iliac system. The diagnosis was made with ultrasonography and computed tomography, without the need for angiography, and confirmed during surgical intervention, in which, prosthetic replacement of the affected segment was carried out.
本文报告一例自发性急性肾下腹主动脉夹层,夹层延伸至右髂总动脉,近端至肾动脉起始部下方。该夹层未累及内脏血管和髂血管系统。通过超声检查和计算机断层扫描做出诊断,无需血管造影,并在手术干预中得到证实,术中对受累节段进行了人工血管置换。