al Moussarih A, Lorillard R, Andrivet J C, Deville C, Roudaut R
Service de cardiologie, Hôpital cardiologique, CHU de Bordeaux, Pessac.
Arch Mal Coeur Vaiss. 1998 Feb;91(2):257-61.
The authors report two cases of spontaneous rupture of the ascending aorta complicating atheromatous disease but without traumatic or infectious factors. The clinical presentation is very similar to that of dissection of the aorta. The diagnosis is based on non-invasive and invasive investigations showing localised abnormalities of the aortic wall suggestive of localised dissection and haemopericardium. Surgery shows transverse tearing of the aortic wall without dissection of the media. It is a surgical emergency, the deceptive presentation of which should not be missed.
作者报告了两例升主动脉自发性破裂病例，这些病例合并动脉粥样硬化疾病，但无创伤或感染因素。临床表现与主动脉夹层非常相似。诊断基于非侵入性和侵入性检查，这些检查显示主动脉壁存在局部异常，提示局部夹层和心包积血。手术显示主动脉壁横向撕裂，无中膜夹层。这是一种外科急症，不应错过其具有欺骗性的表现。
