急性 A 型主动脉夹层后右肺动脉受压导致急性右心室心力衰竭:病例报告

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Hedieh Alimi, Azadeh Izadi Moud, A. Yadollahi
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引用次数: 0

摘要

右心室衰竭是急性主动脉夹层血流动力学衰竭的一种机制。大多数情况下,右心室衰竭是由于 A 型主动脉夹层的假腔压迫右冠状动脉骨膜或涉及该冠状动脉的夹层瓣导致冠状动脉灌注不良所致。另一种机制是肺动脉受压,肺压急性升高至阻塞水平以下,但这种情况很少见报道。在此,我们介绍了一名因 A 型主动脉夹层入院的 82 岁男性患者,超声心动图检查显示他的右肺动脉受压导致急性右心室衰竭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Right pulmonary artery compression following acute type A aortic dissection resulting in acute right ventricular heart failure: A case report
Right ventricular failure is a mechanism of hemodynamic collapse in acute aortic dissection. Mostly RV failure happens as a result of coronary malperfusion secondary to compression of right coronary artery ostium by the false lumen of type A aortic dissection or the dissection flap involving this coronary artery. Another mechanism is compression of pulmonary artery and an acute rise of pulmonary pressure below the level of obstruction, which is rarely reported. Herein, we presented an 82-year-old man who was admitted with type A aortic dissection in whom echocardiographic examination revealed right pulmonary artery compression resulting in acute right ventricular failure.
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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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