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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >A survival case of painless chronic type A aortic dissection with a history of stroke and anticoagulant use.
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A survival case of painless chronic type A aortic dissection with a history of stroke and anticoagulant use.

机译:无痛性慢性A型主动脉夹层的生存病例,有中风和抗凝治疗史。

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摘要

We report the case of a patient with completely painless chronic aortic dissection, who presented to another hospital with a left hemiparesia 3 months ago and received anticoagulation therapy with a diagnosis of ischemic stroke. Most of her symptoms had resolved when she presented to our outpatient clinic except for numbness of her left hand and dysphasia. Physical examination found a diastolic murmur at the left sternal border and a bruit over the right carotid artery. Transthoracic echocardiography and carotid sonography demonstrated aortic dissection with extension into the internal right carotid artery and severe aortic regurgitation. Surgery was performed successfully and the patient was discharged. This case emphasizes that the diagnosis of a completely painless aortic dissection with only neurologic symptoms at presentation can be extremely difficult and should always be considered as a cause of ischemic stroke to avoid catastrophic antithrombolytic or anticoagulation therapy.
机译:我们报道了一个完全无痛的慢性主动脉夹层患者的病例,该患者在3个月前到另一家患有左偏瘫的医院就诊,并接受了抗缺血性卒中的抗凝治疗。当她到我们的门诊就诊时,她的大多数症状都得到了缓解,除了左手的麻木和吞咽困难。体格检查发现左胸骨边缘有舒张期杂音,右颈动脉有杂音。经胸超声心动图和颈动脉超声检查显示主动脉夹层动脉瘤扩展至右颈内动脉并伴有严重的主动脉瓣关闭不全。手术成功完成,患者出院。该病例强调,仅表现为神经系统症状的完全无痛主动脉夹层的诊断可能非常困难,应始终视为缺血性中风的原因,以避免灾难性抗溶栓或抗凝治疗。

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