急性 A 型主动脉夹层后右肺动脉受压导致急性右心室心力衰竭：病例报告

IF 18 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-03-13 DOI:10.34172/jcvtr.32947

Hedieh Alimi, Azadeh Izadi Moud, A. Yadollahi

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引用次数: 0

摘要

右心室衰竭是急性主动脉夹层血流动力学衰竭的一种机制。大多数情况下，右心室衰竭是由于 A 型主动脉夹层的假腔压迫右冠状动脉骨膜或涉及该冠状动脉的夹层瓣导致冠状动脉灌注不良所致。另一种机制是肺动脉受压，肺压急性升高至阻塞水平以下，但这种情况很少见报道。在此，我们介绍了一名因 A 型主动脉夹层入院的 82 岁男性患者，超声心动图检查显示他的右肺动脉受压导致急性右心室衰竭。

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Right pulmonary artery compression following acute type A aortic dissection resulting in acute right ventricular heart failure: A case report

Right ventricular failure is a mechanism of hemodynamic collapse in acute aortic dissection. Mostly RV failure happens as a result of coronary malperfusion secondary to compression of right coronary artery ostium by the false lumen of type A aortic dissection or the dissection flap involving this coronary artery. Another mechanism is compression of pulmonary artery and an acute rise of pulmonary pressure below the level of obstruction, which is rarely reported. Herein, we presented an 82-year-old man who was admitted with type A aortic dissection in whom echocardiographic examination revealed right pulmonary artery compression resulting in acute right ventricular failure.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.