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首页> 外文期刊>Journal of cardiac surgery. >Spontaneous rupture of the ascending aorta
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Spontaneous rupture of the ascending aorta

机译:升起主动脉的自发破裂

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Abstract Background Nontraumatic, spontaneous rupture of the ascending aorta is rare and the etiology is largely unknown. Methods We reviewed seven patients from our institution, with no known aortic disease or hereditary connective tissue disorder that presented with spontaneous ascending aortic rupture from 2012 to 2017. Results Most patients presented with non‐radiating chest pain along with hypertension (71.4%). The mean ascending aortic diameter at rupture was 4.60?±?0.62?cm. The median door‐to‐operating room time was 2.58?h, resulting from effective implementation of an aortic emergency protocol. There were no operative mortalities. Conclusions In patients with ascending aortic rupture, aortic diameter may not always correlate with the risk of rupture. Rapid diagnosis combined with a multidisciplinary approach is vital for the successful management of these high‐risk patients.
机译:摘要背景:非创伤性自发升主动脉破裂罕见,其病因尚不清楚。方法我们回顾了我们研究所2012年至2017年的7例患者,他们没有已知的主动脉疾病或遗传性结缔组织疾病,表现为自发性升主动脉破裂。结果大多数患者以非放射性胸痛伴高血压为主(71.4%)。破裂时的平均升主动脉直径为4.60?±?0.62?厘米门到手术室的平均时间是2.58?h、 由于有效实施主动脉紧急方案。没有手术死亡。结论在升主动脉破裂患者中,主动脉直径可能并不总是与破裂风险相关。快速诊断结合多学科方法对于成功管理这些高危患者至关重要。

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