看看过去的流血! 一个非创伤性胸前大动脉伪动脉瘤病例呈现为血栓塞
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Updated: Jun 17, 2025

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Fawwad Alam Ansari1, Bilal Hamid2, Fahad Mushtaq2
1Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
European journal of case reports in internal medicine
|August 12, 2024
概括
胸前大动脉伪动脉瘤很少会出现血栓塞,这是破裂的关键预警信号. 及时诊断和手术修复对于预防这种罕见病症患者的致命并发症至关重要.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 大动脉伪动脉瘤涉及到大动脉壁的破裂,由adventitia所包含,构成破裂的高风险.
- 通常伴有胸部疼痛,但罕见的病例表现为血栓塞.
研究的目的:
- 为了突出胸前大动脉伪动脉瘤与血液溶解的罕见表现.
- 强调早期识别和迅速管理这种疾病的重要性.
主要方法:
- 一个64岁的男性病例报告呈现出血.
- 诊断工作包括胸部计算机断层扫描 (CT) 和动脉图.
- 手术大动脉修复成功进行.
主要成果:
- 胸前大动脉伪动脉瘤被确定为血栓塞的原因.
- 患者经历了成功的手术修复,没有并发症.
- 这一案例说明了胸前大动脉伪动脉瘤的罕见临床表现.
结论:
- 血栓塞可以是胸前大动脉伪动脉瘤的罕见但关键的表现,表明潜在的破裂.
- 由于死亡率和并发症的高风险,早期诊断和干预至关重要.
- 虽然创伤和手术是常见的原因,但动脉样硬化也可能导致胸前大动脉伪动脉瘤.
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