<症例>腹部大動脈に限局した解離性大動脈瘤の1例

概要

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We report a case of aortic dissecting aneurysm limited to the abdominal aorta. A 65-year-old man was admitted because of acute shearing abdominal pain and lumbago. Neither nitroglycerin nor morphine chloride relieved the pain. Ultrasonography, CT-scanning, and angiography showed a large aortic dissecting aneurysm just below the level of the renal artery and extending to the aortic bifurcation. Surgery was planned because of retroperitoneal bleeding. However, just before starting the operation, the patient suddenly exhibited cardiovascular collapse and died. The classification of dissecting aneurysm of the aorta is based upon the location of the originating intimal defect. DeBakey's classification has found wide acceptance because it combines both anatomical description and a basis for management. However, this case suggests that a new category of dissecting aneurysm is needed.
近畿大学の論文
1989-12-25