de Lacerda R C, Andrea P B, Machado Neto E, de Figueiredo C B, Teixeira A B, de Carvalho P C
Hospital Geral de Bonsucesso, Rio de Janeiro.
Arq Bras Cardiol. 1998 Apr;70(4):275-8.
A 67 year-old normotensive woman had a syncope followed by shock and remained anuric after hemodynamic stabilization. Paraplegia and paresis of the right upper limb, as well as signs of ischemia of the distal lower limbs were noted. The possibility of acute aortic dissection was raised and confirmed by computed tomography. The paraplegia was attributed to an ischemic infarction of the spinal cord. The patient died on the fourth hospital day due to a pericardial temponade. This rare and not well recognized complication of aortic dissection is briefly reviewed.
一名67岁血压正常的女性发生晕厥，随后出现休克，血流动力学稳定后仍无尿。发现有截瘫、右上肢轻瘫以及下肢远端缺血迹象。考虑急性主动脉夹层的可能性，并经计算机断层扫描证实。截瘫归因于脊髓缺血性梗死。患者于住院第四天因心包填塞死亡。本文简要回顾了这种罕见且未被充分认识的主动脉夹层并发症。
