急性主动脉夹层伴多器官灌注不良综合征一例_West China Medical Journal

Authors：

 曾焘 ^1,2 , 刘玮琦 ³ , 严宪才 ¹

1. ;
2. ;
3. ;

Corresponding author：

曾焘, Email: 649204970@qq.com

Keywords：

主动脉夹层; 灌注不良综合征; 误诊; 漏诊

DOI：

10.7507/1002-0179.202409185

Video：

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Citation： 曾焘, 刘玮琦, 严宪才. 急性主动脉夹层伴多器官灌注不良综合征一例. West China Medical Journal, 2024, 39(11): 1823-1825. doi: 10.7507/1002-0179.202409185 Copy

1.	中国医师协会心血管外科分会大血管外科专业委员会. 急性主动脉综合征诊断与治疗规范中国专家共识(2021 版). 中华胸心血管外科杂志, 2021, 37(5): 257-269.
2.	Mehdiani A, Sugimura Y, Wollgarten L, et al. Early results of a novel hybrid prosthesis for treatment of acute aortic dissection type A with distal anastomosis line beyond aortic arch zone zero. Front Cardiovasc Med, 2022, 9: 892516.
3.	Yan Y, Su YY, Yan ZY, et al. Preservation of autologous brachiocephalic vessels with assistance of three-dimensional printing based on convolutional neural networks. Comput Math Methods Med, 2022, 2022: 6499461.
4.	Sobocinski J, Dias NV, Hongku K, et al. Thoracic endovascular aortic repair with stent grafts alone or with a composite device design in patients with acute type B aortic dissection in the setting of malperfusion. J Vasc Surg, 2019, 71(2): 400-407.
5.	Mehta RH, O’Gara PT, Bossone E, et al. Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era. J Am Coll Cardiol, 2002, 40(4): 685-692.
6.	周旻, 符伟国. Stanford B 型主动脉夹层诊断和治疗中国专家共识(2022 版). 中国血管外科杂志(电子版), 2022, 14(2): 119-130.
7.	Williams DM, LePage MA, Lee DY. The dissected aorta: part Ⅰ. Early anatomic changes in an in vitro model. Radiology, 1997, 203(1): 23-31.
8.	常光其, 杨文超. 主动脉夹层合并灌注不良综合征. 外科理论与实践, 2022, 27(4): 304-308.
9.	Pellenc Q, Roussel A, Senemaud J, et al. Staged hybrid repair of type Ⅱ thoracoabdominal aneurysms. J Vasc Surg, 2021, 74(1): 20-27.
10.	Eleshra A, Kölbel T, Panuccio G, et al. Endovascular therapy for nonischemic vs ischemic complicated acute type B aortic dissection. J Endovasc Ther, 2020, 27(1): 145-152.
11.	Wang GJ, Jackson BM, Damrauer SM, et al. Unique characteristics of the type B aortic dissection patients with malperfusion in the Vascular Quality Initiative. J Vasc Surg, 2021, 74(1): 53-62.
12.	Wang R, Zhu JM, Qi RD, et al. Acute ischemic pancreatitis secondary to aortic dissection. Ann Vasc Surg, 2018, 52: 85-89.
13.	Carrel T, Sundt TM, von Kodolitsch Y, et al. Acute aortic dissection. Lancet, 2023, 401(10378): 773-788.
14.	Evangelista A, Isselbacher EM, Bossone E, et al. Insights from the international registry of acute aortic dissection: a 20-year experience of collaborative clinical research. Circulation, 2018, 137(17): 1846-1860.
15.	Landenhed M, Engström G, Gottsäter A, et al. Risk profiles for aortic dissection and ruptured or surgically treated aneurysms: a prospective cohort study. J Am Heart Assoc, 2015, 4(1): e001513.
16.	Isselbacher EM, Preventza O, Hamilton Black J, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation, 2022, 146(24): e334-e482.
17.	Sun L, Qi R, Zhu J, et al. Repair of acute type A dissection: our experiences and results. Ann Thorac Surg, 2011, 91(4): 1147-1152.
18.	Sutarjono B, Ahmed AJ, Ivanova A, et al. Diagnostic accuracy of transthoracic echocardiography for the identification of proximal aortic dissection: a systematic review and meta-analysis. Sci Rep, 2023, 13(1): 5886.
19.	Uchida N, Shibamura H, Katayama A, et al. Surgical strategies for organ malperfusion in acute type B aortic dissection. Interact Cardiovasc Thorac Surg, 2009, 8(1): 75-78.
20.	Roumen RM, Hendriks T, van der Ven-Jongekrijg J, et al. Cytokine patterns in patients after major vascular surgery, hemorrhagic shock, and severe blunt trauma. Relation with subsequent adult respiratory distress syndrome and multiple organ failure. Ann Surg, 1993, 218(6): 769-776.
21.	Bekkaoui S, Ben El Mamoun I, Berrichi H, et al. Acute total aortic dissection revealed by incoercible vomiting with multiple organ failure a case report. Ann Med Surg (Lond), 2022, 76: 103518.
22.	Demircan A, Aksay E, Ergin M, et al. Painless aortic dissection presenting with acute ischaemic stroke and multiple organ failure. Emerg Med Australas, 2011, 23(2): 215-216.
23.	Yamasaki M, Ikutomi M, Masuda Y, et al. Acute type B aortic dissection with multiple cholesterol embolism: an autopsy case report. Eur Heart J Case Rep, 2023, 7(10): ytad482.
24.	Saeidi M, Movahedi M, Rafiee Zadeh A, et al. Outcomes of supra coronary aortic repair technique in patients with acute aortic dissection type A. Am J Cardiovasc Dis, 2022, 12(4): 247-253.
25.	Min X, Hu Z, Wang Z, et al. Surgical treatment of double aortic arch malformation combined with descending aortic arch dissection in adults: a case series. J Cardiothorac Surg, 2023, 18(1): 174.

1. 中国医师协会心血管外科分会大血管外科专业委员会. 急性主动脉综合征诊断与治疗规范中国专家共识(2021 版). 中华胸心血管外科杂志, 2021, 37(5): 257-269.
2. Mehdiani A, Sugimura Y, Wollgarten L, et al. Early results of a novel hybrid prosthesis for treatment of acute aortic dissection type A with distal anastomosis line beyond aortic arch zone zero. Front Cardiovasc Med, 2022, 9: 892516.
3. Yan Y, Su YY, Yan ZY, et al. Preservation of autologous brachiocephalic vessels with assistance of three-dimensional printing based on convolutional neural networks. Comput Math Methods Med, 2022, 2022: 6499461.
4. Sobocinski J, Dias NV, Hongku K, et al. Thoracic endovascular aortic repair with stent grafts alone or with a composite device design in patients with acute type B aortic dissection in the setting of malperfusion. J Vasc Surg, 2019, 71(2): 400-407.
5. Mehta RH, O’Gara PT, Bossone E, et al. Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era. J Am Coll Cardiol, 2002, 40(4): 685-692.
6. 周旻, 符伟国. Stanford B 型主动脉夹层诊断和治疗中国专家共识(2022 版). 中国血管外科杂志(电子版), 2022, 14(2): 119-130.
7. Williams DM, LePage MA, Lee DY. The dissected aorta: part Ⅰ. Early anatomic changes in an in vitro model. Radiology, 1997, 203(1): 23-31.
8. 常光其, 杨文超. 主动脉夹层合并灌注不良综合征. 外科理论与实践, 2022, 27(4): 304-308.
9. Pellenc Q, Roussel A, Senemaud J, et al. Staged hybrid repair of type Ⅱ thoracoabdominal aneurysms. J Vasc Surg, 2021, 74(1): 20-27.
10. Eleshra A, Kölbel T, Panuccio G, et al. Endovascular therapy for nonischemic vs ischemic complicated acute type B aortic dissection. J Endovasc Ther, 2020, 27(1): 145-152.
11. Wang GJ, Jackson BM, Damrauer SM, et al. Unique characteristics of the type B aortic dissection patients with malperfusion in the Vascular Quality Initiative. J Vasc Surg, 2021, 74(1): 53-62.
12. Wang R, Zhu JM, Qi RD, et al. Acute ischemic pancreatitis secondary to aortic dissection. Ann Vasc Surg, 2018, 52: 85-89.
13. Carrel T, Sundt TM, von Kodolitsch Y, et al. Acute aortic dissection. Lancet, 2023, 401(10378): 773-788.
14. Evangelista A, Isselbacher EM, Bossone E, et al. Insights from the international registry of acute aortic dissection: a 20-year experience of collaborative clinical research. Circulation, 2018, 137(17): 1846-1860.
15. Landenhed M, Engström G, Gottsäter A, et al. Risk profiles for aortic dissection and ruptured or surgically treated aneurysms: a prospective cohort study. J Am Heart Assoc, 2015, 4(1): e001513.
16. Isselbacher EM, Preventza O, Hamilton Black J, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation, 2022, 146(24): e334-e482.
17. Sun L, Qi R, Zhu J, et al. Repair of acute type A dissection: our experiences and results. Ann Thorac Surg, 2011, 91(4): 1147-1152.
18. Sutarjono B, Ahmed AJ, Ivanova A, et al. Diagnostic accuracy of transthoracic echocardiography for the identification of proximal aortic dissection: a systematic review and meta-analysis. Sci Rep, 2023, 13(1): 5886.
19. Uchida N, Shibamura H, Katayama A, et al. Surgical strategies for organ malperfusion in acute type B aortic dissection. Interact Cardiovasc Thorac Surg, 2009, 8(1): 75-78.
20. Roumen RM, Hendriks T, van der Ven-Jongekrijg J, et al. Cytokine patterns in patients after major vascular surgery, hemorrhagic shock, and severe blunt trauma. Relation with subsequent adult respiratory distress syndrome and multiple organ failure. Ann Surg, 1993, 218(6): 769-776.
21. Bekkaoui S, Ben El Mamoun I, Berrichi H, et al. Acute total aortic dissection revealed by incoercible vomiting with multiple organ failure a case report. Ann Med Surg (Lond), 2022, 76: 103518.
22. Demircan A, Aksay E, Ergin M, et al. Painless aortic dissection presenting with acute ischaemic stroke and multiple organ failure. Emerg Med Australas, 2011, 23(2): 215-216.
23. Yamasaki M, Ikutomi M, Masuda Y, et al. Acute type B aortic dissection with multiple cholesterol embolism: an autopsy case report. Eur Heart J Case Rep, 2023, 7(10): ytad482.
24. Saeidi M, Movahedi M, Rafiee Zadeh A, et al. Outcomes of supra coronary aortic repair technique in patients with acute aortic dissection type A. Am J Cardiovasc Dis, 2022, 12(4): 247-253.
25. Min X, Hu Z, Wang Z, et al. Surgical treatment of double aortic arch malformation combined with descending aortic arch dissection in adults: a case series. J Cardiothorac Surg, 2023, 18(1): 174.

West China Medical Journal

急性主动脉夹层伴多器官灌注不良综合征一例

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