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The onset of acute type A aortic dissection following recovery of type B intramural haematoma: a case report
BMC Cardiovascular Disorders ( IF 2.1 ) Pub Date : 2020-04-06 , DOI: 10.1186/s12872-020-01440-1
Kai Zhang , Song-Bo Dong , Xu-Dong Pan , Li-Zhong Sun

Aortic intramural hematoma is a life-threatening condition reported with increasing frequency. It can be classified into Stanford type A or B depending on whether the ascending or descending aorta are involved, respectively. However, the onset of acute type A aortic dissection following recovery of type B intramural haematoma is rarely reported. We present an uncommon case of acute Stanford type A aortic dissection developing 3 months after recovery of type B IMH in a 47-year-old female. She complained acute chest pain. The operation was successfully done. She was in good condition and asymptomatic at a 3-month follow-up. Type B intramural haematoma can lead to type A aortic dissection even after totally absorbed and the primary entry has the potential to be located in the ascending aorta. Unsatisfied blood pressure control may be the underlying cause.

中文翻译:

B型壁内血肿恢复后急性A型主动脉夹层的发作:一例报告

主动脉壁内血肿是威胁生命的疾病,报道的频率越来越高。可以根据升主动脉或降主动脉分别将其分为Stanford类型A或B。然而,鲜有报道B型壁内血肿恢复后急性A型主动脉夹层的发作。我们介绍了一位47岁女性在B型IMH康复后3个月发展起来的罕见的斯坦福大学A型急性主动脉夹层病例。她抱怨急性胸痛。该操作已成功完成。在三个月的随访中,她情况良好,无症状。即使完全吸收后,B型壁内血肿仍可导致A型主动脉夹层,并且主要入口可能位于升主动脉中。
更新日期:2020-04-22
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