高血压患者升主动脉和弓部梅毒性囊状动脉瘤的急性夹层--罕见现象。

Q4 Medicine

Autopsy and Case Reports Pub Date : 2024-02-26 eCollection Date: 2024-01-01 DOI:10.4322/acr.2024.475

Hubert Daisley, Dennecia George, Johann Daisley

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引用次数: 0

摘要

我们报告了一例患有高血压并突然死亡的 77 岁男性病例。尸检时发现他患有高血压性心脏肥大，升主动脉和弓部有一个伴有填塞的解剖性梅毒囊状动脉瘤。梅毒性主动脉炎常伴有慢性主动脉瓣反流，与高血压引起的左心室同心性肥大形成叠加效应。

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Acute dissection of a syphilitic saccular aneurysm of the ascending aorta and arch in a hypertensive patient - a rare phenomenon.

We report the case of a 77-year-old male who suffered from hypertension and died suddenly. At autopsy, he was found to have hypertensive cardiomegaly and a dissecting syphilitic saccular aneurysm of the ascending aorta and arch with tamponade. Chronic aortic regurgitation, which is often seen in syphilitic aortitis, produces an additive effect to the concentric left ventricular hypertrophy seen in hypertension.

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来源期刊

Autopsy and Case Reports Medicine-Internal Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

9 weeks