Ascending aortic aneurysm after acute aortic dissection in a case with systemic lupus erythematosus.

Hanae Sasaki, Ryosuke Kowatari, Yuki Imamura, Shintaro Goto, Akira Kurose, Masahito Minakawa
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Abstract

A 50-year-old woman with systemic lupus erythematosus and a history of aortic arch replacement surgery for Stanford type A aortic dissection experienced a reoccurrence of an ascending aortic aneurysm and coronary artery occlusion. Computed tomography revealed that the aneurysm was compressing the superior vena cava and right atrium. The patient underwent urgent surgery to repair the aneurysm. This case highlights that aortic aneurysms can reoccur even after total arch replacement in systemic lupus erythematosus patients.

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一名系统性红斑狼疮患者在急性主动脉夹层后出现升主动脉瘤。
一名患有系统性红斑狼疮并曾因斯坦福A型主动脉夹层接受主动脉弓置换手术的50岁女性再次发生升主动脉瘤和冠状动脉闭塞。计算机断层扫描显示,动脉瘤压迫了上腔静脉和右心房。患者接受了紧急手术,修复了动脉瘤。本病例突出表明,系统性红斑狼疮患者即使进行了全弓置换术,主动脉瘤仍有可能再次发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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