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在慢性,无症状的斯坦福A型大动脉剖析中巨大的大动脉根性血栓

Laura Baquero¹, Hilda Loaisiga², Eduardo Alvarado²

¹Cardiology Fellowship, University of Costa Rica, San Jose, Costa Rica.

JACC. Case reports

|May 22, 2024

概括

慢性A型大动脉解剖是罕见的,因为死亡率高. 这种病例突出显示了血栓和不动的,表明慢性,导致严重的大动脉吐,患者最初被误诊.

科学领域:

心脏病学心脏病学
血管外科血管外科
医学诊断医学诊断医学诊断

背景情况:

甲型大动脉剖析通常呈现急性,早期死亡率高.
慢性大动脉剖析不常见,具有特定的指标,如虚假光线血栓和不移动的内脏片.
早期的错误诊断可能会推迟对大动脉病理的适当管理.

研究的目的:

报告一种罕见的慢性斯坦福A型大动脉剖析病例.
为了强调血栓的诊断意义和慢性大动脉剖析中的不动.
为了说明延迟诊断和出现显著的膜并发症的可能性.

主要方法:

一个61岁的男性患者的病例报告.
对临床表现的审查,包括最初的误诊.
诊断成像利用心声回声学来评估大动脉解剖学和功能.

主要成果:

患者呈现出腹筋声,表明主动脉吐.
心声学证实了慢性斯坦福A型大动脉剖析.
在虚假光线内的血栓被确定为严重的大动脉吐的原因.

结论:

慢性A型大动脉解剖,虽然很少发生,但可能会发生,并可能通过特定的成像检测结果表明.
错误光线中的血栓和不动的板是慢性病的关键指标.
准确和及时的诊断对于管理诸如严重的大动脉反等并发症至关重要.

关键词:

大动脉的动脉.大动脉门的大动脉门解剖解剖解剖解剖

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