临床病例讨论 Case Analysis

主动脉夹层动脉瘤合并肺动脉夹层动脉瘤猝死病例报道及文献回顾

Published at: 2015年第35卷第5期

王勇 1 , 张敏 2 , 杨雅丽 1 , 王晶 1 , 李海龙 1 , 楚惠媛 1 , 陈彻 1
1 甘肃中医药大学医学技术学院法医学教研室,兰州 730000
2 甘肃省人民医院科研处,兰州 730000
通讯作者 勇 王 Email: 99773960@qq.com
DOI: 10.3978/j.issn.2095-6959.10.3978/j.issn.2095-6959.2015.05.39
基金:

摘要

目的:对罕见的主动脉及肺动脉同时发生的夹层动脉瘤进行报道并讨论其死亡原因。方法:分析1例因主动脉夹层动脉瘤合并肺动脉夹层动脉瘤猝死病例的解剖所见、组织学特征,结合文献分析讨论。结果:死者男性,76岁,因外力打击后猝死于家中。解剖所见主动脉、肺动脉夹层动脉瘤形成,肺动脉各级分支夹层动脉瘤形成伴动脉管腔狭窄。组织学证实大动脉动脉粥样硬化。 结论:主动脉合并肺动脉夹层动脉瘤非常罕见,病情凶险,易引起猝死。


Sudden death due to dissection of the thoracic aorta associated with dissection of the pulmonary artery: case report and literature review

Abstract

Objective: To report the rare case of dissection of the thoracic aorta associated with dissection of the pulmonary artery and discuss the cause of death. Methods: Through review the literature and analyze the anatomy findings and histological characteristics in one case of sudden death due to aortic dissecting aneurysm with the pulmonary artery dissection, the clinical significance and cause were discussed. Results: The male death of 76 years old, sudden death at home after blunt blow. Anatomy findings showed that aorta and pulmonary artery dissection aneurysm formed. Pulmonary artery branch dissecting aneurysm formed at pulmonary artery tree with artery luminal stenosis. Conclusion: Dissection of the thoracic aorta associated with dissection of the pulmonary artery is very rare, dangerous illness, easy cause sudden death.


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引用

引用本文: 勇 王, 敏 张, 雅丽 杨, 晶 王, 海龙 李, 惠媛 楚, 彻 陈. 主动脉夹层动脉瘤合并肺动脉夹层动脉瘤猝死病例报道及文献回顾[J]. 临床与病理杂志, 2015, 35(5): 895-898.
Cite this article as: WANG Yong, ZHANG Min, YANG Yali, WANG Jing, LI Hailong, CHU Huiyuan, CHEN Che . Sudden death due to dissection of the thoracic aorta associated with dissection of the pulmonary artery: case report and literature review[J]. Journal of Clinical and Pathological Research, 2015, 35(5): 895-898.