Hemopericardium from retrograde dissection of an abdominal aortic aneurysm.

Hemopericardium from retrograde dissection of an abdominal aortic aneurysm.
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腹主动脉瘤逆行解剖产生的心包积血。

DOI:
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发表时间:
1980
期刊:
The American surgeon
影响因子:
--
通讯作者:
N. Snow
N. Snow
中科院分区:
--
文献类型:
--
作者:
N. Snow

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动脉粥样硬化性腹主动脉瘤很少导致明显的主动脉夹层,而这种夹层明显向近端延伸更是罕见。我们报告的情况下,82岁的男子,其致命的夹层和血心包起源于动脉粥样硬化腹主动脉瘤。这显然是报告的第三起此类案件。准确的血管造影识别内膜破裂的部位,无论是胸内还是腹腔内,对于计划适当的治疗是必不可少的。
Atherosclerotic abdominal aortic aneurysms rarely result in significant aortic dissection, and it is even more unusual to see marked proximal extension of such a dissection. We report the case of an 82-year-old man whose fatal dissection and hemopericardium originated in an atherosclerotic abdominal aortic aneurysm. This is apparently the third such case to be reported. Accurate angiographic identification of the site of intimal disruption, whether intrathoracic or intra-abdominal, is essential for planning proper therapy.